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NPI 1962169169

NPI 1962169169 : CALCASIEU URGENT CARE, LLC : MORGAN CITY, LA

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General NPI Number Information
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    NPI Number           |    1962169169
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    Entity Type          |    Organization 
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    Legal Business Name  |    CALCASIEU URGENT CARE, LLC 
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Dates
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    Enumeration Date     |    11/22/2021
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    Last Update Date     |    09/13/2024
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Provider Practice Location Address
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    Address Line         |    6413 HIGHWAY 182 E 
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    City                 |    MORGAN CITY
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    State                |    LA
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    Zip                  |    70380-2041
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    Country              |    US
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    Telephone            |    985-509-8101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 306416 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37230-6416
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SR MANAGER
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    Name                 |     CHRISTY  LITTLEJOHN 
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    Credential           |    
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    Telephone            |    931-981-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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