1750822151 NPI number — CHECK POINT URGENT CARE OF CROWLEY LLC

Table of content: (NPI 1750822151)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750822151 NPI number — CHECK POINT URGENT CARE OF CROWLEY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHECK POINT URGENT CARE OF CROWLEY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750822151
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 ALBERTSON PKWY
Provider Second Line Business Mailing Address:
SUITE 6
Provider Business Mailing Address City Name:
BROUSSARD
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70518-5325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-330-2339
Provider Business Mailing Address Fax Number:
337-330-2352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
753 ODD FELLOWS RD STE F
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWLEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70526-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-514-5233
Provider Business Practice Location Address Fax Number:
337-514-5235
Provider Enumeration Date:
03/17/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SADEGHI
Authorized Official First Name:
SEYED
Authorized Official Middle Name:
ALIREZA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
985-381-6758

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2456822 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com