CLINICA SANTA MARIA LLC (NPI# 1255600565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255600565 |
| Entity Type | Organization |
| Organization Name | CLINICA SANTA MARIA LLC |
| Practice Address |
6158 Highway 92 Ste 101 Acworth GA 30102-2332 |
| Practice Telephone | 7709288450 |
| Practice Fax Number | 7709288452 |
| Mailing Telephone | 7709288450 |
| Mailing Fax Number | 7709288452 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | MR. ANTONIO MENDOZA (CLINIC MANAGER) |
| Authorized Official Telephone | 7709288450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
LC20110001409 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972697712 | Clinica Santa Maria LLC | Family Medicine | 2354 E Bonanza Rd, Las Vegas, NV 89101-3451 | 2006-10-03 |
| Street Address |
6158 HIGHWAY 92 STE 101 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871934323 | Clinica Santa Maria 2, LLC | Obstetrics & Gynecology | 6158 Highway 92 Ste 101, Acworth, GA 30102-2332 | 2013-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1346385192 | Dignity Place, Inc | Clinic/Center | 252 Kingsford Xing, Acworth, GA 30101-2669 | 2007-02-20 |
| 1992111280 | Lifequest Kennesaw, LLC | Clinic/Center | 3362 Acworth Summit Blvd Nw, Acworth, GA 30101-5770 | 2014-07-08 |
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| 1700432465 | Emanate Wellness Chiropractic, PC | Clinic/Center | 905 Juniper St Ne Ste 108, Atlanta, GA 30309-4129 | 2019-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.