| Genesis Healthcare, Inc. | |
|
99 Bridgetown Rd Goose Creek SC 29445-5359 | |
| (843) 572-3300 | |
| (843) 797-3331 |
| Full Name | Genesis Healthcare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 99 Bridgetown Rd, Goose Creek, South Carolina |
| Authorized Official Name and Position | Tony Megna (CEO) |
| Authorized Official Contact | 8032543676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Healthcare, Inc. 8906 Two Notch Rd Columbia SC 29223-6366 Ph: (803) 254-3676 | Genesis Healthcare, Inc. 99 Bridgetown Rd Goose Creek SC 29445-5359 Ph: (843) 572-3300 |
| NPI Number | 1447975966 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 4688869696 |
|---|---|
| Medicare Enrollment ID | O20230105001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447975966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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