Provider Demographics
NPI:1699049262
Name:HULIN URGENT CARE SERVICES LLC
Entity type:Organization
Organization Name:HULIN URGENT CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLAYT
Authorized Official - Middle Name:
Authorized Official - Last Name:HULIN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:337-364-1166
Mailing Address - Street 1:1110 E SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-3932
Mailing Address - Country:US
Mailing Address - Phone:337-364-1166
Mailing Address - Fax:337-364-7090
Practice Address - Street 1:1110 E SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70560-3932
Practice Address - Country:US
Practice Address - Phone:337-364-1166
Practice Address - Fax:337-364-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6805510001Medicare NSC