Starfish Family Practice

LBN: Starfish Family Practice
Starfish Family Practice is an health care organization with primary practice located at 13066 Shriners Blvd Suite A And B, Biloxi MS 39532-8616. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Starfish Family Practice can be contacted via phone (228) 396-5022, or through Mullen, Karen Yaltah via phone (228) 396-5022.

Contact Information

Primary practice address
13066 Shriners Blvd Suite A And B Biloxi MS 39532-8616
Phone: (228) 396-5022
Fax: (228) 396-5028
Website:
Map and Directions
Authorized official contact:
Name: Mullen, Karen Yaltah Doctor of Medicine (MD)
Phone: (228) 396-5022

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 14226 Mississippi

Profile Details

NPI number 1154733673
LBN Legal business name Starfish Family Practice
DBA Doing business as
Authorized official Mullen, Karen Yaltah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Jun 2nd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154733673 NPPES
Mississippi MEDICAID 06103001

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