# CHALMETTE URGENT MEDICAL CARE LLC

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

## Provider details

- **NPI number:** 1659562411
- **Authorized official:** SCOTT G CONKLIN M.D. (OWNER)
- **Authorized official phone:** (504) 309-8928

## Contact information

- **Practice address:** 619 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5260
- **Practice address phone:** (504) 309-8928
- **Practice address fax:** (504) 309-8954
- **Mailing address:** 619 E JUDGE PEREZ DR, CHALMETTE, LA 70043-5260
- **Mailing address phone:** (504) 309-8928
- **Mailing address fax:** (504) 309-8954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD02229 | LA | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 146661234 | UNITED HEALTHCARE | — |
| 01 | — | 146661234C | BLUECROSS BLUE SHIELD | LA |