| Genesis Health & Wellness Center | |
|
2029 Washington Ave Evansville IN 47714-2257 | |
| (812) 602-4022 | |
| (812) 602-4023 |
| Full Name | Genesis Health & Wellness Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2029 Washington Ave, Evansville, Indiana |
| Authorized Official Name and Position | Michael G Hagedorn (MANAGING MEMBER) |
| Authorized Official Contact | 8124997950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health & Wellness Center 629 Ingle St Evansville IN 47708-1345 Ph: (812) 602-4022 | Genesis Health & Wellness Center 2029 Washington Ave Evansville IN 47714-2257 Ph: (812) 602-4022 |
| NPI Number | 1164925772 |
|---|---|
| Provider Enumeration Date | 03/10/2018 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164925772 | NPI | - | NPPES |
| 300058088 | Medicaid | IN | |
| 300063279 | Medicaid | IN |
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