Crooksville Family Clinic
LBN: Genesis Medical Group Llc
Crooksville Family Clinic is an health care organization with primary practice located at 712 China Street Crooksville Family Clinic Inc., Crooksville OH 43731-1124. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Ambulatory Health Care Facilities / Rural Health. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
Genesis Medical Group Llc can be contacted via phone (740) 982-6872, or through Masterson, Paul D via phone (740) 454-4637.
Contact Information
Primary practice address
712 China Street Crooksville Family Clinic Inc.
Crooksville OH 43731-1124
Phone: (740) 982-6872
Fax: (740) 982-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ||
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1437218526 |
|---|---|
| LBN Legal business name | Genesis Medical Group Llc |
| DBA Doing business as | Crooksville Family Clinic |
| Authorized official | Masterson, Paul D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Dec 17th, 2013 - 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 | 1437218526 | NPPES |
| Ohio | MEDICAID | 2270313 |
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