GENESIS URGENT CARE PHYSICIANS LLC NPI 1013157841

NPI Information

NPI: 1013157841
Provider Name: GENESIS URGENT CARE PHYSICIANS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D2156307

Address:
2800 MAPLE AVE
ZANESVILLE, OH
ZIP 43701
Phone: (740) 586-6821
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GENESIS URGENT CARE PHYSICIANS, LLC is a primary care clinic center in Zanesville, OH. GENESIS URGENT CARE PHYSICIANS, LLC NPI is 1013157841. The provider is registered as an organization entity type.

The provider's business location address is:

2800 MAPLE AVE
ZANESVILLE, OH
ZIP 43701-716
Phone: (740) 586-6821

The provider's authorized official is Matthew Perry .
The authorized official title is Ceo and has the following contact phone number (740) 454-4638.

The CLIA number assigned to this NPI record is 36D2156307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2009 and was last updated on 12/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9381501	MEDICARE PIN	OHIO
2	2906645	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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