Genesis Medical Group Ii, Inc
LBN: Genesis Medical Group Ii, Inc
Genesis Medical Group Ii, Inc is an health care organization with primary practice located at 10802 Se Washington St , Portland OR 97216-3118. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Genesis Medical Group Ii, Inc can be contacted via phone (503) 231-1529, or through Brown, Wyatt James via phone (503) 231-1529.
Contact Information
Primary practice address
10802 Se Washington St
Portland OR 97216-3118
Phone: (503) 231-1529
Fax: (503) 231-7805
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
NPI number | 1790712073 |
---|---|
LBN Legal business name | Genesis Medical Group Ii, Inc |
DBA Doing business as | |
Authorized official | Brown, Wyatt James C.PED. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Jun 28th, 2012 - about 12 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 | 1790712073 | NPPES |
Oregon | MEDICAID | 123617 |
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