Healthcare Provider Details
I. General information
NPI: 1598657025
Provider Name (Legal Business Name): PCP URGENT CARE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5217 ELYSIAN FIELDS AVE
NEW ORLEANS LA
70122-4023
US
IV. Provider business mailing address
8540 SIEGEN LN STE B
BATON ROUGE LA
70810-2372
US
V. Phone/Fax
- Phone: 504-475-8500
- Fax: 504-264-7187
- Phone: 225-224-8690
- Fax: 225-615-7704
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEVEN
EDWARD
PRESLEY
Title or Position: CHIEF STRATEGY OFFICER
Credential: PA-C
Phone: 225-663-6827