| Genesis Enterprises, Inc. | |
|
1463 Campbellsville Rd Columbia KY 42728-2263 | |
| (270) 384-9934 | |
| (270) 384-2823 |
| Full Name | Genesis Enterprises, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1463 Campbellsville Rd, Columbia, Kentucky |
| Authorized Official Name and Position | Willow Rouben (CFO) |
| Authorized Official Contact | 2703849934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Enterprises, Inc. 1463 Campbellsville Rd Columbia KY 42728-2263 Ph: (270) 384-9934 | Genesis Enterprises, Inc. 1463 Campbellsville Rd Columbia KY 42728-2263 Ph: (270) 384-9934 |
| NPI Number | 1730243858 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4082524822 |
|---|---|
| Medicare Enrollment ID | O20031217000826 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730243858 | NPI | - | NPPES |
| 35001239 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Primary |
| Provider Name | Mary Dene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669411849 PECOS PAC ID: 8921905456 Enrollment ID: I20031215000162 |
| Provider Name | Robert S Shipp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629157235 PECOS PAC ID: 7911806492 Enrollment ID: I20040105000006 |
| Provider Name | Sandra F Popplewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801171640 PECOS PAC ID: 2567638463 Enrollment ID: I20171003005655 |
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