NPIMap

Organization Active NPI

Hulin Urgent Care Services, LLC

Doing business as SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Vidalia, LA
National Provider Identifier
1609412097
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HULIN URGENT CARE SERVICES, LLC
Doing business as
SouthStar Urgent Care
Practice address
4319 Highway 84
Vidalia, LA 71373
Phone
(318) 414-2190
Fax
(318) 414-2191
NPI assigned
Nov 21, 2019
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HULIN URGENT CARE SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Renee Berard
Title
VP of Organizational Effectiveness
Phone
(337) 223-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4319 Highway 84
Vidalia, LA 71373

Mailing address

1110 E Saint Peter St
New Iberia, LA 70560-3932
Phone (337) 364-1166

Other names 1

  • SouthStar Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519003035 LA DME Supplier - Multi-Specialty - Physician 6800051285 Practice locations: Vidalia, LA

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hulin Urgent Care SVCS LLC4 organizations share this tax ID, including this one
Part of
Hulin Urgent Care SVCS LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

1918 S Arkansas St
Springhill, LA 71075
Phone (318) 277-2581

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1609412097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603932",
            "telephone_number": "337-364-1166",
            "fax_number": "337-364-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 HIGHWAY 84",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-414-2190",
            "fax_number": "318-414-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULIN URGENT CARE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HULIN URGENT CARE SERVICES, LLC",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "VP OF ORGANIZATIONAL EFFECTIVENESS",
        "authorized_official_telephone_number": "337-223-3368"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SouthStar Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vidalia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.