Padre Pio Clinic Inc.

LBN: Padre Pio Clinic Inc.
Padre Pio Clinic Inc. is an health care organization with primary practice located at 3700 E Williams Field Rd Apt 2040 , Gilbert AZ 85295-7000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Padre Pio Clinic Inc. can be contacted via phone (414) 520-3896, or through Rodriguez, Dana via phone (414) 520-3896.

Contact Information

Primary practice address
3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000
Phone: (414) 520-3896
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Dana Nurse Practitioner (NP)
Phone: (414) 520-3896

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 43966-020 Wisconsin

Profile Details

NPI number 1407109093
LBN Legal business name Padre Pio Clinic Inc.
DBA Doing business as
Authorized official Rodriguez, Dana Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2012
Last updated Sep 29th, 2022 - about 3 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 1407109093 NPPES
Wisconsin MEDICAID 34152600

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