Provider Type Icon

WK URGENT CARE CENTER-PIERREMONT NPI 1639115132


NPI Information

NPI: 1639115132
Provider Name: WK URGENT CARE CENTER-PIERREMONT
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D0963125

Address:
1666 E BERT KOUNS LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71105
Phone: (318) 212-3520
Get Directions

WK URGENT CARE CENTER-PIERREMONT is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WK URGENT CARE CENTER-PIERREMONT NPI is 1639115132. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1666 E BERT KOUNS LOOP
SUITE 105
SHREVEPORT, LA
ZIP 71105-714
Phone: (318) 212-3520
Fax: (318) 212-3525

The provider's authorized official is Steven Randall .
The authorized official title is Vp Administration and has the following contact phone number (318) 212-3520.

The CLIA number assigned to this NPI record is 19D0963125 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 10/27/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2208000000XPediatricsNo
32083X0100XPreventive MedicineOccupational MedicineNo
4207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15C731MEDICARE PINLOUISIANA
21440671MEDICAIDLOUISIANA

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: 4/28/2024

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.