| Genesis Community Health, Inc. | |
|
2623 S Seacrest Blvd Ste 112 Boynton Beach FL 33435-7531 | |
| (561) 810-8790 | |
| (561) 810-8793 |
| Full Name | Genesis Community Health, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2623 S Seacrest Blvd Ste 112, Boynton Beach, Florida |
| Authorized Official Name and Position | Deanna Warren (PRESIDENT/CEO) |
| Authorized Official Contact | 5618066835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Community Health, Inc. 639 E Ocean Ave Ste 409 Boynton Beach FL 33435-5017 Ph: (561) 806-6835 | Genesis Community Health, Inc. 2623 S Seacrest Blvd Ste 112 Boynton Beach FL 33435-7531 Ph: (561) 810-8790 |
| NPI Number | 1215438981 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215438981 | NPI | - | NPPES |
| 006608607 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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