COASTAL URGENT CARE, LLC (NPI# 1568601425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568601425 |
| Entity Type | Organization |
| Organization Name | COASTAL URGENT CARE, LLC |
| Practice Address |
1124 S Burnside Ave Suite A100 Gonzales LA 70737-4249 |
| Mailing Address |
2762 Continental Dr Suite 201 Baton Rouge LA 70808-3240 |
| Practice Telephone | 2256445508 |
| Practice Fax Number | 2257516686 |
| Mailing Telephone | 2257063033 |
| Mailing Fax Number | 2257516686 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2009-02-16 |
| Authorized Official Name | MR. BRENNAN DRISCOLL UTER (OWNER/CEO) |
| Authorized Official Telephone | 2259332044 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
1124 S BURNSIDE AVE SUITE A100 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-4249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790183416 | Jack Mayeux | Nurse Practitioner | 1124 S Burnside Ave, Suite A100, Gonzales, LA 70737-4279 | 2014-12-11 |
| 1801028782 | Amedisys Hospice, L.L.C. | Hospice Care, Community Based | 1124 S Burnside Ave, Building 300-b, Gonzales, LA 70737-4249 | 2009-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497251698 | Vaz Urgent Care Clinic, Pa | Clinic/Center | 1003 N Sarah Dewitt Drive, Gonzales, TX 78629 | 2018-04-05 |
| 1477899656 | Lake Urgent Care Ascension LLC | Clinic/Center | 1702 N Burnside Ave, Gonzales, LA 70737-2141 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537626 | Access Urgent Care | Clinic/Center | 1530 E Mcneese St, Lake Charles, LA 70607-4784 | 2020-10-27 |
| 1083223150 | Hulin Urgent Care Services LLC | Clinic/Center | 4015 Sterlington Rd, Monroe, LA 71203-2535 | 2020-07-24 |
| 1386252674 | Remotemd LLC | Clinic/Center | 880 W Commerce Rd Ste 101, New Orleans, LA 70123-3457 | 2020-07-22 |
| 1245857648 | Hulin Urgent Care Services, LLC | Clinic/Center | 3829 Ryan St Ste 300, Lake Charles, LA 70605-2815 | 2020-07-01 |
| 1518581685 | Hulin Urgent Care Services, LLC | Clinic/Center | 6420 Groom Rd, Baker, LA 70714-4336 | 2020-06-03 |
| 1144844226 | Hulin Urgent Care Services, LLC | Clinic/Center | 117 N Service Rd E, Ruston, LA 71270-2347 | 2020-06-03 |
| 1558984070 | Boyce Family Clinic and Urgent Care LLC | Clinic/Center | 513 Ulster St., Boyce, LA 71409 | 2020-05-19 |
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1487286431 | Hulin Urgent Care Services, LLC | Clinic/Center | 3217 Johnston St, Lafayette, LA 70503-3743 | 2020-02-07 |
| 1346880051 | Mantecol LLC | Clinic/Center | 404 W University Ave Ste B, Hammond, LA 70401-1302 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.