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Coastal Urgent Care, LLC

Clinic/Center, Urgent Care in Gonzales, LA. Organization (NPI-2).

NPI number1568601425
StatusActive
Last updated in NPPESMar 19, 2024

Details

NPI
1568601425
Entity type
Organization (NPI-2)
Legal business name
Coastal Urgent Care, LLC
Organization subpart
No
Enumeration date
Feb 16, 2009
Certification date
Feb 21, 2023
Last updated
Mar 19, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
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 codeDescriptionLicenseStatePrimary
261QU0200X Clinic/Center, Urgent Care––Yes

Practice location

1124 S Burnside Ave
Suite A100
Gonzales, LA 70737-4249

Phone 225-644-5508 · Fax 225-751-6686

Mailing address

600 Jefferson St Ste 600
Lafayette, LA 70501-6987

Phone 337-202-0720

Other practice locations

971 Robert Blvd
Slidell, LA 70458-2009

Phone 985-690-8300

5314 Airline Dr
Bossier City, LA 71111-6711

Phone 318-678-5272

8021 E Texas St
Bossier City, LA 71111-7016

Phone 318-532-5060

1009 S Service Rd W
Ruston, LA 71270-2364

Phone 318-242-1440

9808 Bluebonnet Blvd
Baton Rouge, LA 70810-6442

Phone 225-224-8121

Authorized official

Erica Hauser
Cfo
3125905372

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.

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