| Genhealth | |
|
14441 W Mcdowell Rd Ste B102 Goodyear AZ 85395-2519 | |
| (480) 516-8037 | |
| (480) 400-4383 |
| Full Name | Genhealth |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14441 W Mcdowell Rd Ste B102, Goodyear, Arizona |
| Authorized Official Name and Position | David Ross (CEO) |
| Authorized Official Contact | 4805168037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genhealth 14441 W Mcdowell Rd Ste B102 Goodyear AZ 85395-2519 Ph: (480) 516-8037 | Genhealth 14441 W Mcdowell Rd Ste B102 Goodyear AZ 85395-2519 Ph: (480) 516-8037 |
| NPI Number | 1144799792 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 04/14/2021 |
| Certification Date | 03/24/2021 |
| Medicare PECOS PAC ID | 6305170762 |
|---|---|
| Medicare Enrollment ID | O20190619001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144799792 | NPI | - | NPPES |
| 729400 | Medicaid | AZ |
| Provider Name | Laura M Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417142 PECOS PAC ID: 9830334374 Enrollment ID: I20130403000555 |
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