Provider Demographics
NPI:1609384189
Name:CALCASIEU URGENT CARE LLC
Entity type:Organization
Organization Name:CALCASIEU URGENT CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:LITTLEJOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-981-1901
Mailing Address - Street 1:2640 COUNTRY CLUB RD STE 400
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-6079
Mailing Address - Country:US
Mailing Address - Phone:337-426-0919
Mailing Address - Fax:
Practice Address - Street 1:213 W VETERANS MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:KAPLAN
Practice Address - State:LA
Practice Address - Zip Code:70548-4918
Practice Address - Country:US
Practice Address - Phone:337-282-1096
Practice Address - Fax:337-514-2801
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALCASIEU URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-18
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health