BROAD AVENUE URGENT CARE
NPI 1164727285
Clinic/Center - Urgent Care in Gulfport, MS

NPI Status: Active since January 20, 2011

Contact Information

1104 BROAD AVE
SUITE B
GULFPORT, MS
ZIP 39501
Phone: (228) 314-1340
Fax: (228) 314-1342

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  • Organization
  • Clinic/Center
  • Urgent Care

About BROAD AVENUE URGENT CARE

This page provides the complete NPI Profile along with additional information for Broad Avenue Urgent Care, a provider established in Gulfport, Mississippi operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1164727285 assigned on January 2011. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ronnie Ali D.o. (Owner)

NPI
1164727285
Provider Name
BROAD AVENUE URGENT CARE
Entity Type
Organization
Location Address
1104 BROAD AVE SUITE B GULFPORT, MS 39501
Location Phone
(228) 314-1340
Location Fax
(228) 314-1342
Mailing Address
PO BOX 1248 OCEAN SPRINGS, MS 39566
Mailing Phone
(228) 314-1340
Mailing Fax
(228) 314-1342
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-20-2011
Last Update Date
07-06-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RONNIE ALI D.O.

Authorized Official Title
OWNER
Authorized Official Phone
(228) 314-1340

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164727285
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112414214216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 2 + 1 + 4 + 2 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164727285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255367736SOUTH MISSISSIPPI HEART AND VASCULAR INSTITUTE PLLC
Organization
Specialist1104 BROAD AVE
GULFPORT, MS 39501
(228) 343-4057
1720039043DR. MOHAMMED I AWAAD MD
Individual
Internal Medicine (Cardiovascular Disease)1104 BROAD AVE
GULFPORT, MS 39501
(228) 388-6500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164727285, enumerated in the NPI registry as an "organization" on January 20, 2011

The provider is located at 1104 Broad Ave Suite B Gulfport, Ms 39501 and the phone number is (228) 314-1340

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

This NPI record was last updated on January 20, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.