| Genesis Family Health | |
|
100 W Ross Blvd Ste 2a Dodge City KS 67801-7217 | |
| (620) 227-3141 | |
| Not Available |
| Full Name | Genesis Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 W Ross Blvd Ste 2a, Dodge City, Kansas |
| Authorized Official Name and Position | Julie Kay Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6202717400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Health Po Box 766 Garden City KS 67846-0766 Ph: (620) 271-7400 | Genesis Family Health 100 W Ross Blvd Ste 2a Dodge City KS 67801-7217 Ph: (620) 227-3141 |
| NPI Number | 1578201034 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 7416866124 |
|---|---|
| Medicare Enrollment ID | O20220801001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578201034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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