Organization Active NPI

Calcasieu Urgent Care LLC

  • Urgent Care Clinic/Center
  • Jennings, LA
National Provider Identifier
1902399249
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CALCASIEU URGENT CARE LLC
Practice address
1750 Elton Rd
Jennings, LA 70546
Phone
(337) 329-6565
Fax
(337) 329-6575
NPI assigned
Jun 12, 2018
Organization subpart
Yes
Parent organization
CALCASIEU URGENT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Robert Michael Anderson
Title
Owner
Phone
(337) 426-0919

Specialties & licenses 1

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

Addresses

Primary practice location

1750 Elton Rd
Jennings, LA 70546

Mailing address

1750 Elton Rd
Jennings, LA 70546
Phone (337) 329-6565

Other names 1

  • Jennings Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Calcasieu Urgent Care LLC

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1902399249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-329-6565",
            "fax_number": "337-329-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 ELTON RD",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "70546",
            "telephone_number": "337-329-6565",
            "fax_number": "337-329-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALCASIEU URGENT CARE LLC",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-426-0919"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennings Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jennings Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.