| Generoso Health Llc | |
|
23 Cowlitz W Castle Rock WA 98611 | |
| (872) 395-1626 | |
| Not Available |
| Full Name | Generoso Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 Cowlitz W, Castle Rock, Washington |
| Authorized Official Name and Position | Arvi Mallari Generoso (PHYSICIAN OWNER) |
| Authorized Official Contact | 3608009480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generoso Health Llc Po Box 1163 Castle Rock WA 98611-1163 Ph: (360) 800-9480 | Generoso Health Llc 23 Cowlitz W Castle Rock WA 98611 Ph: (872) 395-1626 |
| NPI Number | 1932866134 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 1456731496 |
|---|---|
| Medicare Enrollment ID | O20220707002566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932866134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Arvi M Generoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104104025 PECOS PAC ID: 6406089853 Enrollment ID: I20140812000037 |
Castle Rock Pediatrics And Family Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 First Avenue Sw, Castle Rock, WA 98611 Phone: 360-274-2353 Fax: 360-274-2354 | |
Emma V Torres Baltazar Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 Se Roake Avenue, Castle Rock, WA 98611 Phone: 360-274-4179 |