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NPI Code Detail

MEDICARE: GENESIS HEALTHCARE SYSTEMS INC.

MEDICARE: GENESIS HEALTHCARE SYSTEMS INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/Center1118605LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700882628
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENESIS HEALTHCARE SYSTEMS INC.
Provider Business Mailing Address
First Line : 847 STEWART ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-8539
Country : US
Telephone Number : 337-237-4673
Fax Number : 337-237-4674
Provider Business Practice Location Address
First Line : 847 STEWART ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-8539
Country : US
Telephone Number : 337-237-4673
Fax Number : 337-237-4674
Authorized Official
Title or Position : CFO
Name : WILL J ARLEDGE
Credential :
Telephone Number : 337-237-4673
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/17/2008

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Directions to “GENESIS HEALTHCARE SYSTEMS INC. ” Practice Location

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