GENESIS MEDICAL CENTER NPI 1336932862

NPI Information

  • NPI: 1336932862
  • Provider Name: GENESIS MEDICAL CENTER
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 104 PARK PL
    EUDORA, AR
    ZIP 71640
  • Phone: (870) 355-9001

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NPI Details

GENESIS MEDICAL CENTER is a community health clinic center in Eudora, AR. GENESIS MEDICAL CENTER NPI is 1336932862. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104 PARK PL
EUDORA, AR
ZIP 71640-661
Phone: (870) 355-9001

The provider's authorized official is Quanika S Simpson-jackson .
The authorized official title is Administrator and has the following contact phone number (702) 417-4702.

The enumeration date for this NPI number is 5/27/2025 and was last updated on 5/27/2025.

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
1106S00000XBehavior TechnicianNo
2251B00000XCase ManagementNo
3251S00000XCommunity/Behavioral HealthNo
4261QR1300XClinic/CenterRural HealthNo
5261Q00000XClinic/CenterNo
6261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
7261QG0250XClinic/CenterGeneticsNo
8261QM0850XClinic/CenterAdult Mental HealthNo
9261QM2500XClinic/CenterMedical SpecialtyNo
10261QC1500XClinic/CenterCommunity HealthYes

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: 3/30/2025

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