Petal Urgent Care Llc

LBN: Petal Urgent Care Llc
Petal Urgent Care Llc is an health care organization with primary practice located at 1272 Evelyn Gandy Pkwy Ste 60 , Petal MS 39465-3953. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Petal Urgent Care Llc can be contacted via phone (707) 319-5068, or through Ali, Ronnie via phone (601) 336-5393.

Contact Information

Primary practice address
1272 Evelyn Gandy Pkwy Ste 60 Petal MS 39465-3953
Phone: (707) 319-5068
Fax: (601) 602-4681
Website:
Map and Directions
Authorized official contact:
Name: Ali, Ronnie Doctor of Osteopathy (DO)
Phone: (601) 336-5393

Health care specialties

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

Profile Details

NPI number 1982908877
LBN Legal business name Petal Urgent Care Llc
DBA Doing business as
Authorized official Ali, Ronnie Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2011
Last updated Oct 28th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982908877 NPPES
Mississippi MEDICAID 03704755

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