Provider Demographics
NPI:1902280258
Name:HEALTHREMEDE URGENT CARE, LLC
Entity type:Organization
Organization Name:HEALTHREMEDE URGENT CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:W
Authorized Official - Last Name:FRICK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:225-380-1720
Mailing Address - Street 1:13466 VERA MCGOWAN RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:LA
Mailing Address - Zip Code:70785-8508
Mailing Address - Country:US
Mailing Address - Phone:225-380-1720
Mailing Address - Fax:225-380-1719
Practice Address - Street 1:13466 VERA MCGOWAN RD
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:LA
Practice Address - Zip Code:70785-8508
Practice Address - Country:US
Practice Address - Phone:225-380-1720
Practice Address - Fax:225-380-1719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty