Active NPI
MHM Urgent Care Mandeville, LLC
- Urgent Care Clinic/Center
- Mandeville, LA
National Provider Identifier
1649603549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MHM URGENT CARE MANDEVILLE, LLC
- Practice address
- 2735 Highway 190
Suite D
Mandeville, LA 70471-3253 - Phone
- (504) 831-3112
- Fax
- (504) 831-3778
- NPI assigned
- Aug 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Leblanc Sr.
- Title
- Ceo
- Phone
- (504) 831-3112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2735 Highway 190
Suite D
Mandeville, LA 70471-3253
Mailing address
3510 N Causeway Blvd
Suite 110
Metairie, LA 70002-3531
Phone (504) 831-3112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 321498 | Other | LA | MEDICARE ID |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2735 Highway 190
Ste D
Mandeville, LA 70471
Phone (985) 778-2510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- New Orleans, LA
- NPI 1962701854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412208000000",
"number": "1649603549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"address_2": "SUITE 110",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-831-3112",
"fax_number": "504-831-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 HIGHWAY 190",
"address_2": "SUITE D",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713253",
"telephone_number": "504-831-3112",
"fax_number": "504-831-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MHM URGENT CARE MANDEVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-14",
"last_updated": "2014-10-02",
"status": "A",
"authorized_official_last_name": "LEBLANC",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "504-831-3112",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "321498",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.