ASA LLC


Address: 1924 30th Ave, Gulfport, MS 39501-4534
Phone: 2283433044

ASA LLC (NPI# 1558897744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558897744
Entity Type Organization
Organization Name ASA LLC
Practice Address 1924 30th Ave
Gulfport
MS 39501-4534
Practice Telephone 2283433044
Practice Fax Number 2282064523
Mailing Telephone 2283433044
Mailing Fax Number 2282064523
Enumeration Date 2017-05-07
Last Update Date 2017-05-07
Authorized Official Name MR. ROBERT LEE GILLUM JR. (SURGICAL ASSISTANT)
Authorized Official Telephone 2283433044
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
MS Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Asa LLC 4517 Levi Lane, Colorado Springs, CO 80925

Office Location

Street Address 1924 30TH AVE
City GULFPORT
State MS
Zip Code 39501-4534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295934115 Candace Worsham Family Medicine 1924 30th Ave, Gulfport, MS 39501-4534 2007-07-11
1881882405 Garden Park Physician Services Corp Family Medicine 1924 30th Ave, Gulfport, MS 39501-4534 2007-10-09

Providers in the same zip code

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1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1730721374 Affinity Healthcare LLC Non-emergency Medical Transport (VAN) 1822 15th St, Suite 8, Gulfport, MS 39501 2019-10-15
1093361156 Gulf Coast Companion Care, LLC Home Health 1314 Pass Road, Ste B, Gulfport, MS 39501 2019-08-14
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1629530795 A Port In The Storm (apits) Clinic/Center 102 N. Cass Street, Suite B, Corinth, MS 38834 2019-04-05
1730502055 Hancock Medical Health Services Clinic/Center 5435 Gex Road, Diamondhead, MS 39525 2014-01-22
1538478870 Hancock Medical Health Services, Inc. Clinic/Center 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 2010-10-05
1629287719 Singing River Health System Clinic/Center 7001 Highway 614, Moss Point, MS 39562 2007-05-22
1164422580 Mississippi University for Women Clinic/Center 620 10th St South, Cromwell Bldg Room 129, Columbus, MS 39701 2005-07-28
1578129177 Madison Hma LLC Clinic/Center 161 River Oaks Dr, Canton, MS 39046-5375 2019-05-20
1902361660 Sog Physical Therapy Clinic/Center 1211 S Gloster St Ste C, Tupelo, MS 38801-6535 2019-02-07
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Competitor

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City GULFPORT
Zip Code 39501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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