GENESIS COMMUNITY HEALTH INC (NPI# 1215438981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215438981 |
| Entity Type | Organization |
| Organization Name | GENESIS COMMUNITY HEALTH INC |
| Practice Address |
2623 S Seacrest Blvd Ste 112 Boynton Beach FL 33435-7531 |
| Mailing Address |
2623 S Seacrest Blvd Ste 65 Boynton Beach FL 33435-7541 |
| Practice Telephone | 5618108790 |
| Practice Fax Number | 5618108793 |
| Mailing Telephone | 5617356553 |
| Mailing Fax Number | 5617357739 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-06-04 |
| Authorized Official Name | DEANNA WARREN (PRESIDENT/CEO) |
| Authorized Official Telephone | 5618066835 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073982831 | Genesis Community Health Inc | Clinic/Center | 600 S Dixie Hwy Ste 103, Boca Raton, FL 33432-6034 | 2015-09-22 |
| 1871936336 | Genesis Community Health Inc | Clinic/Center | 181 Crawford Blvd, Boca Raton, FL 33432-3743 | 2013-04-15 |
| 1437402831 | Genesis Community Health Inc | Clinic/Center | 1515 W Palmetto Park Rd, Boca Raton, FL 33486-3307 | 2012-10-23 |
| Street Address |
2623 S SEACREST BLVD STE 112 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33435-7531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824186 | Sarah Gostich | Podiatrist | 2815 S Searest Blvd, Boynton Beach, FL 33435 | 2019-08-01 |
| 1104487768 | Amira Nabil Halim Ibrahim | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Medicine-bethesda Hospital, 2623 S Seacrest Blvd, Boynton Beach, FL 33435 | 2019-06-25 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1033686068 | Valery L. Petit-homme | Behavior Technician | 515 Se 20th Ave, Apt 10a, Boynton Beach, FL 33435 | 2018-10-29 |
| 1104391648 | Summit Detox | Psychiatry & Neurology | 3330 S. Federal Highway, 3rd Floor, Boynton Beach, FL 33435 | 2018-10-11 |
| 1184120008 | Zachariah Hatoum | Student in an Organized Health Care Education/Training Program | 2815 South Seacrest Blvd., Gme Suite Lower Level B, Boynton Beach, FL 33435 | 2018-03-30 |
| 1922503135 | Anneka Mariesha Hutton | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Boulevard, Florida Atlantic University Medicine At Bethesda Hospit, Boynton Beach, FL 33435 | 2018-03-28 |
| 1477079473 | Benezon LLC | Case Management | 609 Manatee Bay Drive, Boynton Beach, FL 33435 | 2017-08-21 |
| 1750814091 | Maria Mijares | Student in an Organized Health Care Education/Training Program | 2623 South Seacrest Blvd., Suite 100, Fau Medicine At Bhe, Boynton Beach, FL 33435 | 2017-04-04 |
| Find all providers in zip 33435 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740745512 | Genesis Community Health, Inc | Clinic/Center | 2623 S Seacrest Blvd Ste 100, Boynton Beach, FL 33435-7531 | 2019-02-06 |
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| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33435 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.