Provider Demographics
NPI:1104272863
Name:RAPID URGENT CARE, INC
Entity type:Organization
Organization Name:RAPID URGENT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEA
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:DE
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:985-249-5600
Mailing Address - Street 1:229 SAINT JOHN LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3276
Mailing Address - Country:US
Mailing Address - Phone:866-875-9225
Mailing Address - Fax:985-888-6817
Practice Address - Street 1:3908 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5641
Practice Address - Country:US
Practice Address - Phone:504-218-8959
Practice Address - Fax:504-267-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-11
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA276932Medicare PIN