MEDICARE: BEATLINE URGENT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1952725269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEATLINE URGENT CARE

Provider Business Mailing Address
First Line	:	PO BOX 1248
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39566-1248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5107 BEATLINE RD STE 300
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3874
Country	:	US
Telephone Number	:	228-424-0806
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RONNIE ALI
Credential	:	D.O.
Telephone Number	:	228-424-0806

Provider Enumeration Date	:	02/06/2014
Last Update Date	:	02/06/2014

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Directions to “BEATLINE URGENT CARE ” Practice Location

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