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NPI Code Detail

MEDICARE: ASCENSION URGENT CARE, LLC

MEDICARE: ASCENSION URGENT CARE, 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/Center15167RLA

General Provider Information

NPI Number : 1336315449
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCENSION URGENT CARE, LLC
Provider Business Mailing Address
First Line : 14350 HIGHWAY 73
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3617
Country : US
Telephone Number : 225-248-6134
Fax Number : 225-313-6012
Provider Business Practice Location Address
First Line : 14350 HIGHWAY 73
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3617
Country : US
Telephone Number : 225-248-6134
Fax Number : 225-313-6012
Authorized Official
Title or Position : OWNER/MEDICAL DIRECTOR
Name : DR. NORMAN GLEN NEAL
Credential : MD
Telephone Number : 225-313-3754
Provider Enumeration Date : 05/08/2008
Last Update Date : 08/21/2009

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Directions to “ASCENSION URGENT CARE, LLC ” Practice Location

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