Healthcare Provider Details
I. General information
NPI: 1407196686
Provider Name (Legal Business Name): URGENT CARE OF MORGAN CITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/25/2013
Last Update Date: 03/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1216 N VICTOR II BLVD SUITE 400
MORGAN CITY LA
70380-1382
US
IV. Provider business mailing address
1216 N VICTOR II BLVD SUITE 400
MORGAN CITY LA
70380-1382
US
V. Phone/Fax
- Phone: 985-702-2229
- Fax: 985-384-0329
- Phone: 985-412-2020
- Fax: 985-259-8800
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATCHEZ
MORICE
III
Title or Position: OWNER
Credential: M.D.
Phone: 985-412-2020