Calcasieu Urgent Care LLC

Dermatology in Lake Charles, LA. Organization (NPI-2).

NPI number1376901694

StatusActive

Last updated in NPPESApr 6, 2021

Details

NPI: 1376901694
Entity type: Organization (NPI-2)
Legal business name: Calcasieu Urgent Care LLC
Organization subpart: No
Enumeration date: Feb 1, 2016
Certification date: Apr 6, 2021
Last updated: Apr 6, 2021

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207N00000X	Dermatology	–	–	Yes

Other names

Calcasieu Urgent Care (Doing Business As)

Practice location

242 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603

Phone 337-905-4000 · Fax 337-905-4003

Mailing address

242 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603

Phone 337-905-4000 · Fax 337-905-4003

Authorized official

Sydni Clemmons
Credentialing Manager
9013511791

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dermatology Physician providers in Lake Charles, LA

All 14 Dermatology Physician providers in Lake Charles · All 3,953 providers in Lake Charles

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