| Organization Name: | CALCASIEU URGENT CARE LLC |
| NPI Number: | 1225404072 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT ANDERSON (OWNER) |
| Mailing Address: | 1429 Beglis Pkwy Sulphur |
| State: | LA US |
| Postal Code: | 706635603 |
| Phone Number: | 3375288000 |
| Fax Number: | 3375284933 |
| NPI Enumeration Date: | 08/17/2015 |
| NPI Last Update Date: | 08/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |