# THIBODAUX REGIONAL URGENT CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thibodaux Regional Urgent Care - Houma
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154097996
- **Authorized official:** KIM L BOUDREAUX MBA (CONTRACT MANAGER)
- **Authorized official phone:** (985) 493-4907

## Contact information

- **Practice address:** 1411 SAINT CHARLES ST, HOUMA, LA 70360-3964
- **Practice address phone:** (985) 709-0136
- **Practice address fax:** (985) 709-0527
- **Mailing address:** 602 N ACADIA RD, THIBODAUX, LA 70301-4823
- **Mailing address phone:** (985) 493-4740
- **Mailing address fax:** (985) 446-5033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 09/05/2023
