# THIBODAUX REGIONAL URGENT CARE, LLC

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

## Provider details

- **NPI number:** 1790547370
- **Authorized official:** KIM LEGENDRE BOUDREAUX (DIRECTOR OF CONTRACTING)
- **Authorized official phone:** (985) 493-4907

## Contact information

- **Practice address:** 4218 WEST MAIN ST, GRAY, LA 70359
- **Practice address phone:** (985) 493-4944
- **Practice address fax:** (985) 493-4943
- **Mailing address:** 602 N ACADIA RD, THIBODAUX, LA 70301-4823
- **Mailing address phone:** (985) 493-4907

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2024
- **Last updated:** 01/29/2024