Broad Avenue Urgent Care

LBN: Broad Avenue Urgent Care
Broad Avenue Urgent Care is an health care organization with primary practice located at 1104 Broad Ave Suite B, Gulfport MS 39501-2414. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Broad Avenue Urgent Care can be contacted via phone (228) 314-1340, or through Ali, Ronnie via phone (228) 314-1340.

Contact Information

Primary practice address
1104 Broad Ave Suite B Gulfport MS 39501-2414
Phone: (228) 314-1340
Fax: (228) 314-1342
Website:
Map and Directions
Authorized official contact:
Name: Ali, Ronnie Doctor of Osteopathy (DO)
Phone: (228) 314-1340

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1164727285
LBN Legal business name Broad Avenue Urgent Care
DBA Doing business as
Authorized official Ali, Ronnie Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2011
Last updated Jul 6th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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