Santa Marianita Clinic, Inc in Norfolk - Health Service
Santa Marianita Clinic, Inc - NPI 1477586139
Santa Marianita Clinic, Inc is a Health Service in Norfolk, Nebraska. Santa Marianita Clinic, Inc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Santa Marianita Clinic, Inc is 1477586139. The last update date is 2012-04-27.
Santa Marianita Clinic, Inc's current location address is 1112 Verges Ave, Norfolk, Nebraska. You can contact this provider via phone number 4023798717 and fax number 4023790447. The mailing address for Santa Marianita Clinic, Inc is 1112 Verges Ave, Norfolk, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Marianita Clinic, Inc |
|---|---|
| Address | 1112 Verges Ave, Norfolk, Nebraska |
| Phone Number | 4023798717 |
| Fax Number | 4023790447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Gomez-Cordero Rodrigo |
| Credentials | M.D |
| Telephone Number | 4023798717 |
NPI Number Detail
| NPI Number | 1477586139 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2012-04-27 |
Provider Mailing Address Detail
| Address | 1112 Verges Ave |
|---|---|
| City | Norfolk |
| State | Nebraska (NE) |
| Post Code | 687013853 |
| Phone Number | 4023798717 |
| Fax Number | 4023790447 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 15892 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6484 | NE | BLUE CROSS BLUE SHIELD | |
| 2407 | NE | MIDLANDS CHOICE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Santa Marianita Clinic, Inc by the Centers for Medicare & Medicaid Services?
The Santa Marianita Clinic, Inc has been issued the NPI (National Provider Identifier) 1477586139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Santa Marianita Clinic, Inc's facilities are situated?
The facilities of Santa Marianita Clinic, Inc are physically located at the following address: 1112 Verges Ave, Norfolk, NE, 687013853.
What is Santa Marianita Clinic, Inc's area of expertise and its corresponding taxonomy classification?
The Santa Marianita Clinic, Inc's field of specialization is Health Service, and it falls under the taxonomy code 261Qh0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1477586139 to Santa Marianita Clinic, Inc?
The Centers for Medicare & Medicaid Services assigned the 1477586139 to Santa Marianita Clinic, Inc on 2006-07-08.
As of what date was the information pertaining to Santa Marianita Clinic, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Santa Marianita Clinic, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-27.