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Contact Information

GENESIS MEDICAL ASSOCIATES. INC.
12311 PERRY HWY
WEXFORD, PA15090-8344
 Phone: 724-935-5330
 Fax: 724-935-5098
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GENESIS MEDICAL ASSOCIATES. INC.

NPI # 1154808699
LBN Legal business name GENESIS MEDICAL ASSOCIATES. INC.
Authorized official RICHARD STEVENSON - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2018
Last updated 01/19/2024 - About 2 years ago
Identifiers
PA Medicaid 001517153-0047
PA Other 4097520 BC
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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