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Contact Information

GEVINAH HEALTHCARE SC
3100 WASHINGTON RD
KENOSHA, WI53144-1604
 Phone: 310-933-5688
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GEVINAH HEALTHCARE SC

NPI Number 1134907173
LBN Legal business name GEVINAH HEALTHCARE SC
Authorized official MICHAEL FARAH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2023
Last updated 05/29/2026 - Less than a week ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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