Healthcare Provider Details

I. General information

NPI: 1437841541
Provider Name (Legal Business Name): CALCASIEU URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

387 W RAILROAD AVE
INDEPENDENCE LA
70443-2292
US

IV. Provider business mailing address

PO BOX 306416
NASHVILLE TN
37230-6416
US

V. Phone/Fax

Practice location:
  • Phone: 931-256-1110
  • Fax: 931-722-9919
Mailing address:
  • Phone: 931-253-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY LITTLEJOHN
Title or Position: SR MANAGER
Credential:
Phone: 931-981-1901