SANTA MARIANITA CLINIC, INC
NPI 1477586139
Clinic/Center - Health Service in Norfolk, NE

Active since July 08, 2006
1112 VERGES AVE, NORFOLK, NE 68701(402) 379-8717(402) 379-0447 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Santa Marianita Clinic, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA MARIANITA CLINIC, INC (NPI 1477586139) is a healthcare organization registered as a health service in Norfolk, Nebraska and active in the NPI registry since July 2006. The organization lists Rodrigo Gomez-cordero, Owner, as its authorized official.

NPPES Registry Identity

NPI1477586139
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSANTA MARIANITA CLINIC, INC
Location Address1112 VERGES AVENorfolk, NE 68701-3853
Mailing Address1112 Verges AveNorfolk, NE 68701-3853 · (402) 379-8717 · Fax (402) 379-0447
Fax(402) 379-0447
Organization SubpartNo
Authorized OfficialRodrigo Gomez-corderoOwner · (402) 379-8717
Enumeration DateJuly 8, 2006
Last NPPES UpdateApril 27, 2012
NPI 1477586139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License Licensed in NE · 15892
1112 VERGES AVE, Norfolk, NE 68701

Other Identifiers 5

Medicaid=========01NE
Medicare PIN098525NE
Medicare UPINB90848NE
Other06484NE · Blue Cross Blue Shield
Other2407NE · Midlands Choice

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1112 VERGES AVE
NORFOLK, NE 68701
General Practice
1112 VERGES AVE
NORFOLK, NE 68701
Physician Assistant
1112 VERGES AVE
NORFOLK, NE 68701
Physician Assistant
1112 VERGES AVE
NORFOLK, NE 68701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Marianita Clinic, Inc's NPI number?

The NPI number for Santa Marianita Clinic, Inc is 1477586139. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Santa Marianita Clinic, Inc located?

Santa Marianita Clinic, Inc is located at 1112 Verges Ave, Norfolk, NE 68701. The listed phone number is (402) 379-8717.

What is Santa Marianita Clinic, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Santa Marianita Clinic, Inc was last updated on April 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.