SANTA MARIANITA CLINIC INC NPI 1477586139

NPI Information

SANTA MARIANITA CLINIC, INC is a health service clinic center in Norfolk, NE. SANTA MARIANITA CLINIC, INC NPI is 1477586139. The provider is registered as an organization entity type.

The provider's business location address is:

1112 VERGES AVE
NORFOLK, NE
ZIP 68701-853
Phone: (402) 379-8717
Fax: (402) 379-0447

The provider's authorized official is Rodrigo Gomez-cordero .
The authorized official title is Owner and has the following contact phone number (402) 379-8717.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 4/27/2012.

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:

Other Identifiers

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

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