| Organization Name: | ASCENSION URGENT CARE, LLC |
| NPI Number: | 1336315449 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMAN GLEN NEAL (OWNER/MEDICAL DIRECTOR) |
| Mailing Address: | 14350 Highway 73 Prairieville |
| State: | LA US |
| Postal Code: | 707693617 |
| Phone Number: | 2252486134 |
| Fax Number: | 2253136012 |
| NPI Enumeration Date: | 05/08/2008 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 15167R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |