Active NPI
Coastal Urgent Care of Louisiana, LLC
- Urgent Care Clinic/Center
- Houma, LA
National Provider Identifier
1902249808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- COASTAL URGENT CARE OF LOUISIANA, LLC
- Practice address
- 1411 St. Charles St.
Houma, LA 70360-3964 - Phone
- (985) 709-0136
- Fax
- (985) 709-0527
- NPI assigned
- Apr 10, 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. Brennan D Uter, MHA
- Title
- Owner, Managing Partner
- Phone
- (225) 706-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1411 St. Charles St.
Houma, LA 70360-3964
Mailing address
4520 Jamestown Ave Ste 3
Baton Rouge, LA 70808-3214
Phone (225) 706-3033
Other names 1
- Coastal Urgent Care of Houma
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/1982/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/7239/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676937600000",
"number": "1902249808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4520 JAMESTOWN AVE STE 3",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083214",
"telephone_number": "225-706-3033",
"fax_number": "225-218-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 ST. CHARLES ST.",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603964",
"telephone_number": "985-709-0136",
"fax_number": "985-709-0527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL URGENT CARE OF LOUISIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A",
"authorized_official_last_name": "UTER",
"authorized_official_first_name": "BRENNAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER, MANAGING PARTNER",
"authorized_official_telephone_number": "225-706-3033",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coastal Urgent Care of Houma",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Coastal Urgent Care of Houma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.