STARKE FAMILY MEDICAL CENTER INC (NPI# 1487727038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487727038 |
Entity Type | Organization |
Organization Name | STARKE FAMILY MEDICAL CENTER INC |
Other Organization Name | IMMEDIATE CARE CENTER OF STARKE |
Practice Address |
345 W Madison St Starke FL 32091-3923 |
Practice Telephone | 9049645455 |
Practice Fax Number | 9049642015 |
Mailing Telephone | 9049645455 |
Mailing Fax Number | 9049642015 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | WALTER DAVID SIKES JR. (PRESIDENT) |
Authorized Official Telephone | 9049645455 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
immediate care center of starke | Doing Business As Name - Organization |
Street Address |
345 W MADISON ST |
City | STARKE |
State | FL |
Zip Code | 32091-3923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720049612 | Jessica M Miller | Family Medicine | 345 W Madison St, Starke, FL 32091-3923 | 2006-03-30 |
1801374681 | Mary Thornton Konkel | Nurse Practitioner | 345 W Madison St, Starke, FL 32091 | 2018-08-02 |
1629279278 | Brenda Kay Corbin | Family Medicine | 345 W Madison St, Starke, FL 32091-3923 | 2007-05-30 |
1558362848 | Walter David Sikes Jr. | Chiropractor | 345 W Madison St, Starke, FL 32091-3923 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
Find all providers in zip 32091 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144495466 | Pediatric Associates At Argyle Pa | Clinic/Center | 417 E Call St, Starke, FL 32091-3401 | 2008-04-28 |
1184891178 | Starke Chiropractic Inc. | Clinic/Center | 225 S Orange St, Starke, FL 32091-3833 | 2008-05-09 |
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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.