Espiritu Clinic Pllc

LBN: Espiritu Clinic Pllc
Espiritu Clinic Pllc is an health care organization with primary practice located at 715 Fairgrove Church Rd Se Suite 204, Conover NC 28613-9290. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Espiritu Clinic Pllc can be contacted via phone (888) 898-7130, or through Espiritu, Hernane Bautista via phone (888) 898-7130.

Contact Information

Primary practice address
715 Fairgrove Church Rd Se Suite 204 Conover NC 28613-9290
Phone: (888) 898-7130
Fax: (828) 322-7921
Website:
Map and Directions
Authorized official contact:
Name: Espiritu, Hernane Bautista
Phone: (888) 898-7130

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1497722359
LBN Legal business name Espiritu Clinic Pllc
DBA Doing business as
Authorized official Espiritu, Hernane Bautista
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 21st, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497722359 NPPES
North Carolina MEDICAID 891352X

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