Organization Name: | STARKE HMA, LLC |
NPI Number: | 1285733790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
Mailing Address: | 922 E Call St Starke |
State: | FL US |
Postal Code: | 320913616 |
Phone Number: | 9043862300 |
Fax Number: | 3527330069 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 4267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |