Organization Name: | PASCAGOULA URGENT CARE |
NPI Number: | 1235442872 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONNIE ALI (CEO) |
Mailing Address: | 2210 Denny Ave Pascagoula |
State: | MS US |
Postal Code: | 395673416 |
Phone Number: | 2283726040 |
Fax Number: | 2283726043 |
NPI Enumeration Date: | 07/25/2010 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |