SANTA MARIANITA CLINIC, INC – NPI #1477586139
Clinic/Center

SANTA MARIANITA CLINIC, INC is an AHC clinic located in NORFOLK, NE. NPPES has assigned the NPI number 1477586139 to SANTA MARIANITA CLINIC, INC on July 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 14 years ago on Apr 27, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SANTA MARIANITA CLINIC, INC below.

NPI Profile for
SANTA MARIANITA CLINIC, INC

NPI Number
1477586139
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SANTA MARIANITA CLINIC, INC
Primary location
1112 VERGES AVE
NORFOLK, NE 68701-3853
Phone: (402) 379-8717 Fax: (402) 379-0447
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RODRIGO GOMEZ-CORDERO
OWNER
Phone: (402) 379-8717
Updated
Identifiers

Identifiers for SANTA MARIANITA CLINIC, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDNE06484
OTHERMIDLANDS CHOICENE2407
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)		 NE 15892

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.