THIBODAUX REGIONAL URGENT CARE, LLC – NPI #1790547370
Clinic/Center

THIBODAUX REGIONAL URGENT CARE, LLC is an AHC clinic located in GRAY, LA. NPPES has assigned the NPI number 1790547370 to THIBODAUX REGIONAL URGENT CARE, LLC on January 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THIBODAUX REGIONAL URGENT CARE, LLC below.

NPI Profile for
THIBODAUX REGIONAL URGENT CARE, LLC

NPI Number
1790547370
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THIBODAUX REGIONAL URGENT CARE, LLC
Primary location
4218 WEST MAIN ST
GRAY, LA 70359
Phone: (985) 493-4944 Fax: (985) 493-4943
Mailing address
602 N ACADIA RD
THIBODAUX, LA 70301-4823
Phone: (985) 493-4907 Fax:
Organization Subpart
No
Authorized Official
KIM BOUDREAUX
DIRECTOR OF CONTRACTING
Phone: (985) 493-4907
Updated
Certification Date
Jan 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.