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NPI Code Detail

MEDICARE: PCP URGENT CARE HOLDINGS LLC

MEDICARE: PCP URGENT CARE HOLDINGS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245601038
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCP URGENT CARE HOLDINGS LLC
Provider Business Mailing Address
First Line : 7515 JEFFERSON HWY
Second Line : #246
City : BATON ROUGE
State : LA
Zip : 70806-8308
Country : US
Telephone Number : 225-224-8690
Fax Number : 225-615-7704
Provider Business Practice Location Address
First Line : 2840 FLORIDA ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-2721
Country : US
Telephone Number : 225-224-2402
Fax Number : 225-367-4938
Authorized Official
Title or Position : C.E.O.
Name : DR. DEEPESH RUBIN PATEL
Credential : M.D.
Telephone Number : 225-252-1102
Provider Enumeration Date : 10/19/2015
Last Update Date : 04/26/2023

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Directions to “PCP URGENT CARE HOLDINGS LLC ” Practice Location

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