GENESIS COMMUNITY HEALTH INC NPI 1073982831

NPI Information

NPI: 1073982831
Provider Name: GENESIS COMMUNITY HEALTH INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 10D2103622

Address:
600 S DIXIE HWY STE 103
BOCA RATON, FL
ZIP 33432
Phone: (561) 430-3629
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GENESIS COMMUNITY HEALTH INC is a federally qualified health center (fqhc) clinic center in Boca Raton, FL. GENESIS COMMUNITY HEALTH INC NPI is 1073982831. The provider is registered as an organization entity type.

The provider's business location address is:

600 S DIXIE HWY STE 103
BOCA RATON, FL
ZIP 33432-034
Phone: (561) 430-3629
Fax: (561) 990-7435

The provider's authorized official is Deanna M Warren .
The authorized official title is Executive Director/ceo and has the following contact phone number (561) 735-6553.

The CLIA number assigned to this NPI record is 10D2103622 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2015 and was last updated on 6/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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