=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710839436
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENESIS HEALTHCARE SYSTEM
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 646 CHESTNUT ST STE B
-----------------------------------------------------
City | COSHOCTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43812-1211
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-295-8201
-----------------------------------------------------
Fax | 740-313-0667
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2951 MAPLE AVE
-----------------------------------------------------
City | ZANESVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43701-1406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PARALEGAL II
-----------------------------------------------------
Name | AMANDA TOUVELL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 740-454-4628
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------