GENUINE CARE HEALTHCARE SYSTEMS LLC NPI 1629715602

NPI Information

NPI: 1629715602
Provider Name: GENUINE CARE HEALTHCARE SYSTEMS LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 53D2268410

Address:
1202 CLEVELAND AVE
CHEYENNE, WY
ZIP 82001
Phone: (307) 426-4916
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GENUINE CARE HEALTHCARE SYSTEMS LLC is a primary care clinic center in Cheyenne, WY. GENUINE CARE HEALTHCARE SYSTEMS LLC NPI is 1629715602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1202 CLEVELAND AVE
CHEYENNE, WY
ZIP 82001-700
Phone: (307) 426-4916
Fax: (877) 585-7008

The provider's authorized official is Jennifer Elizabeth Davis .
The authorized official title is Fnp/owner and has the following contact phone number (307) 214-4537.

The CLIA number assigned to this NPI record is 53D2268410 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/19/2022 and was last updated on 11/13/2022.

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	207Q00000X	Family Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			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: 4/28/2024

NPI Synchronization or Removal

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