MEADOWBROOK URGENT CARE PC NPI 1104097625

NPI Information

  • NPI: 1104097625
  • Provider Name: MEADOWBROOK URGENT CARE PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 37463 DUTTON RD
    SUITE 100
    PRAIRIEVILLE, LA
    ZIP 70769
  • Phone: (225) 313-3754

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NPI Details

MEADOWBROOK URGENT CARE PC is an urgent care clinic center in Prairieville, LA. MEADOWBROOK URGENT CARE PC NPI is 1104097625. The provider is registered as an organization entity type.

The provider's business location address is:

37463 DUTTON RD
SUITE 100
PRAIRIEVILLE, LA
ZIP 70769-502
Phone: (225) 313-3754
Fax: (225) 313-6012

The provider's authorized official is Rona Wadle .
The authorized official title is Owner/medical Director and has the following contact phone number (248) 476-8500.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 3/13/2008.

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

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H65468MEDICARE UPINMICHIGAN
2M48310072MEDICARE PINMICHIGAN

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: 11/21/2025

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