Santo Nino Pediatric Clinic, Pc

LBN: Santo Nino Pediatric Clinic, Pc
Santo Nino Pediatric Clinic, Pc is an health care organization with primary practice located at 1722 Central Ave , Augusta GA 30904-5737. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Santo Nino Pediatric Clinic, Pc can be contacted via phone (706) 855-7414, or through Nafarrete, Alberto Rico via phone (706) 855-7414.

Contact Information

Primary practice address
1722 Central Ave Augusta GA 30904-5737
Phone: (706) 855-7414
Fax: (706) 364-0554
Website:
Map and Directions
Authorized official contact:
Name: Nafarrete, Alberto Rico
Phone: (706) 855-7414

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1760431605
LBN Legal business name Santo Nino Pediatric Clinic, Pc
DBA Doing business as
Authorized official Nafarrete, Alberto Rico
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Aug 17th, 2018 - about 8 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 1760431605 NPPES
Georgia Other 5444457 CCN(NETWORK)
Georgia MEDICAID GPA837 CCN(NETWORK)
Georgia Other 10942549 CCN(NETWORK)
Georgia MEDICAID 003683189A CCN(NETWORK)

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