GENESIS HEALTH CARE INC NPI 1558831198

NPI Information

NPI: 1558831198
Provider Name: GENESIS HEALTH CARE, INC

Doing Business As: VALCOURT PEDIATRICS ASSOC.

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
124 MEDICAL PARK DR
WALTERBORO, SC
ZIP 29488
Phone: (803) 782-3636
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GENESIS HEALTH CARE, INC is a federally qualified health center (fqhc) clinic center in Walterboro, SC. GENESIS HEALTH CARE, INC NPI is 1558831198. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valcourt Pediatrics Assoc..

The provider's business location address is:

124 MEDICAL PARK DR
WALTERBORO, SC
ZIP 29488-719
Phone: (803) 782-3636

The provider's authorized official is Tony Megna .
The authorized official title is Ceo and has the following contact phone number (803) 254-3676.

The CLIA number assigned to this NPI record is 42D2125071 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/27/2018 and was last updated on 1/24/2022.

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	208000000X	Pediatrics				No
2	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

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