Provider Demographics
NPI:1689632358
Name:CHILDREN'S ACUTE CARE PC
Entity Type:Organization
Organization Name:CHILDREN'S ACUTE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:GIOIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-395-7095
Mailing Address - Street 1:1333 N BUFFALO DR
Mailing Address - Street 2:STE 290
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-3636
Mailing Address - Country:US
Mailing Address - Phone:702-395-7095
Mailing Address - Fax:702-395-3502
Practice Address - Street 1:1325 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1007
Practice Address - Country:US
Practice Address - Phone:605-322-3439
Practice Address - Fax:605-322-3654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD1008070Medicaid