Provider Type Icon

THIBODAUX REGIONAL URGENT CARE LLC NPI 1154097996


NPI Information

NPI: 1154097996
Provider Name: THIBODAUX REGIONAL URGENT CARE LLC

Doing Business As: THIBODAUX REGIONAL URGENT CARE - HOUMA

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 19D2059406

Address:
1411 SAINT CHARLES ST
HOUMA, LA
ZIP 70360
Phone: (985) 709-0136
Get Directions

THIBODAUX REGIONAL URGENT CARE LLC is an urgent care clinic center in Houma, LA. THIBODAUX REGIONAL URGENT CARE LLC NPI is 1154097996. The provider is registered as an organization entity type.
The provider Is Doing Business As Thibodaux Regional Urgent Care - Houma.

The provider's business location address is:

1411 SAINT CHARLES ST
HOUMA, LA
ZIP 70360-964
Phone: (985) 709-0136
Fax: (985) 709-0527

The provider's authorized official is Kim L Boudreaux .
The authorized official title is Contract Manager and has the following contact phone number (985) 493-4907.

The CLIA number assigned to this NPI record is 19D2059406 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2021 and was last updated on 9/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.