Calcasieu Urgent Care LLC
Community/Behavioral Health in Lake Charles, LA. Organization (NPI-2).
NPI number1508494964
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1508494964
- Entity type
- Organization (NPI-2)
- Legal business name
- Calcasieu Urgent Care LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 31, 2020
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 261QU0200X | Clinic/Center, Urgent Care | – | – |
Other names
- Calcasieu Urgent Care (Doing Business As)
Practice location
2640 Country Club Rd Ste 400Lake Charles, LA 70605-6079
Phone 337-426-0919 · Fax 337-426-0931
Mailing address
2640 Country Club Rd Ste 400Lake Charles, LA 70605-6079
Phone 337-426-0919 · Fax 337-426-0931
Authorized official
Robert Michael Anderson
Owner/MD
3374260919
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