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CALCASIEU URGENT CARE LLC
NPI 1023583044
Specialist in Deridder, LA

Active since October 05, 2018CLIA 19D2184626 · Waiver
1017 N PINE STREET, DERIDDER, LA 70634(337) 426-0919(337) 426-0931 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2021, Oct 5, 2018 (2 updates tracked since 2018).

About Calcasieu Urgent Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALCASIEU URGENT CARE LLC (NPI 1023583044) is a healthcare organization registered as a specialist in Deridder, Louisiana and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Sydni Clemmons, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1023583044
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCALCASIEU URGENT CARE LLC
Location Address1017 N PINE STREETDeridder, LA 70634
Mailing Address3995 County Road 36Killen, AL 35645-4651 · (901) 351-1791 · Fax (337) 426-0931
Phone(337) 426-0919
Fax(337) 426-0931
Organization SubpartNo
Authorized OfficialSydni ClemmonsCredentialing Manager · (901) 351-1791
Enumeration DateOctober 5, 2018
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1023583044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1017 N PINE STREET, Deridder, LA 70634
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Other Identifiers 1

MedicaidPENDINGLA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2184626

Calcasieu Urgent Care LLC · Sulphur, LA
Active · expires May 21, 2028
CLIA Number19D2184626
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorSelena Gurley
Laboratory Phone(901) 351-1791
Laboratory LocationCalcasieu Urgent Care LLC3439 Highway 1256, Sulphur, LA 70665
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Calcasieu Urgent Care LLC's NPI number?

The NPI number for Calcasieu Urgent Care LLC is 1023583044. It was assigned to this organization in the NPPES registry on October 5, 2018.

Where is Calcasieu Urgent Care LLC located?

Calcasieu Urgent Care LLC is located at 1017 N Pine Street, Deridder, LA 70634. The listed phone number is (337) 426-0919.

What is Calcasieu Urgent Care LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Calcasieu Urgent Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2184626) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Calcasieu Urgent Care LLC was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.