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PADRE PIO CLINIC INC. NPI 1407109093


NPI Information

NPI: 1407109093
Provider Name: PADRE PIO CLINIC INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3700 E WILLIAMS FIELD RD APT 2040
GILBERT, AZ
ZIP 85295
Phone: (414) 520-3896
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PADRE PIO CLINIC INC. is a primary care clinic center in Gilbert, AZ. PADRE PIO CLINIC INC. NPI is 1407109093. The provider is registered as an organization entity type.

The provider's business location address is:

3700 E WILLIAMS FIELD RD APT 2040
GILBERT, AZ
ZIP 85295-000
Phone: (414) 520-3896

The provider's authorized official is Dana Rodriguez .
The authorized official title is Medical Director and has the following contact phone number (414) 520-3896.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 9/29/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care43966-020WISCONSINYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134152600MEDICAIDWISCONSIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.