# COASTAL URGENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568601425
- **Authorized official:** ERICA HAUSER (CFO)
- **Authorized official phone:** (312) 590-5372

## Contact information

- **Practice address:** 1124 S BURNSIDE AVE, SUITE A100, GONZALES, LA 70737-4249
- **Practice address phone:** (225) 644-5508
- **Practice address fax:** (225) 751-6686
- **Mailing address:** 600 JEFFERSON ST STE 600, LAFAYETTE, LA 70501-6987
- **Mailing address phone:** (337) 202-0720

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2009
- **Last updated:** 03/19/2024