La Clinica

LBN: The Clinic
La Clinica is an health care organization with primary practice located at 157 William Hilton Pkwy , Hilton Head Island SC 29926-5218. The organization recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. The Clinic can be contacted via phone (843) 681-8260, or through Deabate, Giuseppe Balin via phone (843) 338-1337.

Contact Information

Primary practice address
157 William Hilton Pkwy Hilton Head Island SC 29926-5218
Phone: (843) 681-8260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deabate, Giuseppe Balin Advanced Practice Registered Nurse (APRN)
Phone: (843) 338-1337

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X A1897 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X P1897 South Carolina

Profile Details

NPI number 1639422892
LBN Legal business name The Clinic
DBA Doing business as La Clinica
Authorized official Deabate, Giuseppe Balin Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2012
Last updated Oct 24th, 2012 - about 14 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 1639422892 NPPES
South Carolina Other AA10337919 MEDICARE ID-TYPE UNSPECIFIED
South Carolina MEDICAID NP0909 MEDICARE ID-TYPE UNSPECIFIED

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