Hardin County Urgent Care PLLC
Organization Active NPI Urgent Care Clinic/Center · Lumberton, TX
NPI 1639799984 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1639799984
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- HARDIN COUNTY URGENT CARE PLLC
- Practice address
- 655 S Main St
Lumberton, TX 77657-7378 - Phone
- (094) 227-4084
- Fax
- (409) 227-4140
- NPI assigned
- Apr 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Mrs. Trisha Lackey
- Title
- Manager
- Phone
- (409) 782-4795
Practitioners 8
-
Yancey Roy Foster, FNP
-
Thomas Britt Lackey, ENP
-
John K Podnewich, NP
-
Joel George Pohorence, MSN, APRN, FNP-C
-
Joshua Youngblood, FNP-C
-
Kimberly Ruth Pitts, D.O. P.A
-
Paul Wayne Cormier, N.P.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2183508 | Hardin County Urgent Care | Certificate of waiver | May 5, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210216000415 | TX | Part B Supplier - Clinic/Group Practice | 1153736657 |
Receives reassigned benefits from 8 practitioners Practice locations: Lumberton, TX |
National Provider Directory
Locations
641 S Main St
Lumberton, TX 77657
655 S Main St
Lumberton, TX 77657
Phone (409) 227-4084
1908 Highway 365
Nederland, TX 77627
Phone (409) 729-1900
220 Strickland Dr
Orange, TX 77630
Phone (409) 330-4707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
655 S Main St
Lumberton, TX 77657-7378
Mailing address
655 S Main St
Lumberton, TX 77657-7378
Phone (409) 227-4084
Other names
- Hardin County Urgent Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | trisha@ocuctx.com | Direct |
Other providers in Lumberton, TX
- Grant Guidry
- Jeffrey J Guillory Jr.
- Kimberly Ann Hamm
- Hardin County Emergency Service District No 2
- Hardin County Pediatrics
- Carol Ann Harris
- Harriscare Medical Group PLLC
- Cameron Grace Hathaway
- Michelle Marie Hext
- Sheila A Holt
All providers in Lumberton, TX · Urgent Care Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.