=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952952061
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHECK POINT URGENT CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/20/2019
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2331 S UNION ST
-----------------------------------------------------
City | OPELOUSAS
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70570-5744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-678-0911
-----------------------------------------------------
Fax | 337-678-1133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 ALBERTSON PKWY STE 6
-----------------------------------------------------
City | BROUSSARD
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70518-5325
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 337-330-2349
-----------------------------------------------------
Fax | 337-330-2352
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP
-----------------------------------------------------
Name | SEYED SADEGHI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 337-330-2349
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------