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Contact Information

GENESIS HEALTH CARE, INC
124 MEDICAL PARK DR
WALTERBORO, SC29488-5719
 Phone: 803-782-3636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GENESIS HEALTH CARE, INC

NPI Number 1558831198
LBN Legal business name GENESIS HEALTH CARE, INC
Authorized official TONY MEGNA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2018
Last updated 01/24/2022 - About 4 years 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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