Genesis Medical Center Of Kenosha, S.C.
LBN: Genesis Medical Center Of Kenosha, S.C.
Genesis Medical Center Of Kenosha, S.C. is an health care organization with primary practice located at 1020 35Th St , Kenosha WI 53140-1902. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Genesis Medical Center Of Kenosha, S.C. can be contacted via phone (262) 652-3500, or through Garretto, Jean via phone (262) 652-3500.
Contact Information
Primary practice address
1020 35Th St
Kenosha WI 53140-1902
Phone: (262) 652-3500
Fax: (262) 925-8353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X |
Profile Details
| NPI number | 1063456424 |
|---|---|
| LBN Legal business name | Genesis Medical Center Of Kenosha, S.C. |
| DBA Doing business as | |
| Authorized official | Garretto, Jean |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063456424 | NPPES |
| Wisconsin | MEDICAID | 21301500 |
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