Starke Hma LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

4267 Issued in FL

Legal business name

STARKE HMA LLC

Practice address

1550 S Water St
Starke, FL 32091-4511

Phone

(904) 368-2343

Fax

(352) 733-0069

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula Lalor

Title

Director/Delegated Official

Phone

(615) 925-4565

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Shands Medical Group of Starke Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shands Teaching Hospital and Clinics Inc

  • Radiology Clinic/Center
  • Ocala, FL
  • NPI 1942031232

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1457448284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S WATER ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914511",
            "telephone_number": "904-368-2343",
            "fax_number": "352-733-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S WATER ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914511",
            "telephone_number": "904-368-2343",
            "fax_number": "352-733-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010007201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CB2503",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010007202",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shands Medical Group of Starke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Starke Chiropractic Inc.
• Starke Family Medical Center Inc
• Starke Family Medicine Clinic 01 Inc
• Starke Family Pharmacy
• Starke Family Pharmacy-LTC
• Starke Hma LLC
• Starke Hma Medical Group LLC
• Starke Hma, LLC
• Starke Hma, LLC
• Starke Spine and Injury LLC,

• Rural Health Clinic/Center in Starke, FL
• Providers in Starke, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.