US STAR NURSING NPI 1144786948

NPI Information

  • NPI: 1144786948
  • Provider Name: US STAR NURSING
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 25D2071424
  • Address: 48 EAST WOODLAWN AVENUE
    NATCHEZ, MS
    ZIP 39120
  • Phone: (601) 304-2043

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NPI Details

US STAR NURSING is a clinic center in Natchez, MS. The provider is 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). US STAR NURSING NPI is 1144786948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

48 EAST WOODLAWN AVENUE
NATCHEZ, MS
ZIP 39120
Phone: (601) 304-2043

The provider's authorized official is Tarsha Carter Ambeau .
The authorized official title is Manager and has the following contact phone number (601) 304-2043.

The CLIA number assigned to this NPI record is 25D2071424 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2019 and was last updated on 2/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
104821760MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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