Provider Demographics
NPI:1194104513
Name:ST. FRANCIS URGENT CARE LLC
Entity type:Organization
Organization Name:ST. FRANCIS URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REVENUE CYCLE SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-214-1031
Mailing Address - Street 1:PO BOX 679634
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-9634
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2020 TOWER DR
Practice Address - Street 2:STE 100
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5036
Practice Address - Country:US
Practice Address - Phone:318-998-0700
Practice Address - Fax:318-998-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care