| Balto Health LLC | |
|
14507 Stenum St Biloxi MS 39532-8926 | |
| (601) 202-1217 | |
| Not Available |
| Full Name | Balto Health LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14507 Stenum St, Biloxi, Mississippi |
| Authorized Official Name and Position | Carlos Baltodano (CEO) |
| Authorized Official Contact | 6012021217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balto Health LLC 14507 Stenum St Biloxi MS 39532-8926 | Balto Health LLC 14507 Stenum St Biloxi MS 39532-8926 Ph: (601) 202-1217 |
| NPI Number | 1437979879 |
|---|---|
| Provider Enumeration Date | 10/11/2024 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437979879 | NPI | - | NPPES |
| 1861969305 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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