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GENESIS COMMUNITY HEALTH INC. NPI 1548783160


NPI Information

NPI: 1548783160
Provider Name: GENESIS COMMUNITY HEALTH, INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 13D1008049

Address:
215 W 35TH ST
GARDEN CITY, ID
ZIP 83714
Phone: (208) 384-5200
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GENESIS COMMUNITY HEALTH, INC. is a voluntary or charitable in Garden City, ID. GENESIS COMMUNITY HEALTH, INC. NPI is 1548783160. The provider is registered as an organization entity type.

The provider's business location address is:

215 W 35TH ST
GARDEN CITY, ID
ZIP 83714-520
Phone: (208) 384-5200
Fax: (208) 384-5205

The provider's authorized official is Josh Campbell .
The authorized official title is Operations Director and has the following contact phone number (208) 854-3929.

The CLIA number assigned to this NPI record is 13D1008049 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2017 and was last updated on 7/25/2017.


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
1251V00000XVoluntary or CharitableYes

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: 5/5/2024

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