CALCASIEU URGENT CARE LLC (NPI# 1508494964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508494964 |
Entity Type | Organization |
Organization Name | CALCASIEU URGENT CARE LLC |
Practice Address |
2640 Country Club Rd Ste 400 Lake Charles LA 70605-6079 |
Practice Telephone | 3374260919 |
Practice Fax Number | 3374260931 |
Mailing Telephone | 3374260919 |
Mailing Fax Number | 3374260931 |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |
Authorized Official Name | ROBERT MICHAEL ANDERSON (OWNER/MD) |
Authorized Official Telephone | 3374260919 |
Is Organization Subpart | Y |
Parent Organization Name | CALCASIEU URGENT CARE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Calcasieu Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
1609384189 | Calcasieu Urgent Care LLC | Clinic/Center | 1225 N Parkerson Ave, Crowley, LA 70526-3611 | 2018-01-18 |
1376901694 | Calcasieu Urgent Care LLC | Clinic/Center | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2016-02-01 |
1801389283 | Calcasieu Urgent Care LLC | Clinic/Center | 307 Keyser Ave, Natchitoches, LA 71457-5801 | 2018-06-11 |
1568951275 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Lake Charles, LA 70605-6078 | 2018-05-08 |
1811406309 | Calcasieu Urgent Care LLC | Clinic/Center | 103 W University Pkwy, Leesville, LA 71446-4734 | 2017-09-27 |
1225404072 | Calcasieu Urgent Care LLC | Clinic/Center | 1429 Beglis Pkwy, Sulphur, LA 70663-5603 | 2015-08-17 |
1770961922 | Calcasieu Urgent Care LLC | Clinic/Center | 1429 Beglis Pkwy, Sulphur, LA 70663-5603 | 2015-05-08 |
1467715490 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2012-06-25 |
Street Address |
2640 COUNTRY CLUB RD STE 400 |
City | LAKE CHARLES |
State | LA |
Zip Code | 70605-6079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083137624 | Rebecca A Castleberry | Nurse Practitioner | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2017-07-25 |
1255939344 | Alexis Griffin | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-10-12 |
1083249700 | Tracy Erik Sedano | Nurse Practitioner | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-03-04 |
1275167686 | Angelle Brooks Thompson | Nurse Practitioner | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-02-24 |
1699323964 | Lindsay Vincent Quebodeaux | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2019-08-29 |
1427541341 | Laurie Davis Starr | Nurse Practitioner | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2018-06-14 |
1730697467 | Mary-alaina Dewees | Nurse Practitioner | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2018-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
Find all providers in zip 70605 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537626 | Access Urgent Care | Clinic/Center | 1530 E Mcneese St, Lake Charles, LA 70607-4784 | 2020-10-27 |
1245857648 | Hulin Urgent Care Services, LLC | Clinic/Center | 3829 Ryan St Ste 300, Lake Charles, LA 70605-2815 | 2020-07-01 |
1376901694 | Calcasieu Urgent Care LLC | Clinic/Center | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2016-02-01 |
1134530470 | Lake Charles Urgent Care | Clinic/Center | 2400 Ryan St, Lake Charles, LA 70601-7322 | 2014-05-08 |
1982861407 | Lake Charles Medical & Surgical Clinic | Clinic/Center | 4320 Lake St, Lake Charles, LA 70605-4310 | 2008-05-21 |
1942413612 | Hunter Mcguire Medical Center | Clinic/Center | 1510 W Mcneese St, Lake Charles, LA 70605-4242 | 2007-05-08 |
1568951275 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Lake Charles, LA 70605-6078 | 2018-05-08 |
1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
1467715490 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2012-06-25 |
1306135892 | Lake Charles Urgent Care | Clinic/Center | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2011-04-05 |
Find all providers in LAKE CHARLES |
City | LAKE CHARLES |
Zip Code | 70605 |
Please comment or provide details below to improve the information on CALCASIEU URGENT CARE LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.