| Genesis Family Health | |
|
1700 Avenue F Dodge City KS 67801-4541 | |
| (620) 255-6821 | |
| (620) 225-2422 |
| Full Name | Genesis Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Avenue F, Dodge City, Kansas |
| Authorized Official Name and Position | Julie K Wright (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6202717400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Health Po Box 766 Garden City KS 67846-0766 Ph: (620) 271-7400 | Genesis Family Health 1700 Avenue F Dodge City KS 67801-4541 Ph: (620) 255-6821 |
| NPI Number | 1528254463 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 7416866124 |
|---|---|
| Medicare Enrollment ID | O20140326001748 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528254463 | NPI | - | NPPES |
| CH07463F | Other | HRSA OFFICE OF PHARMACY AFFAIRS 340B PROGRAM | |
| 100314080F | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
Genesis Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Avenue F, Dodge City, KS 67801 Phone: 620-227-9797 Fax: 620-227-9751 | |
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Scdc Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W Ross Blvd Ste 1b, Dodge City, KS 67801 Phone: 620-371-5576 Fax: 620-371-5006 | |
C&s Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Summerlon Circle, Suite A, Dodge City, KS 67801 Phone: 620-408-9700 Fax: 620-408-9701 | |
Hodgeman County Medical Services, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 Summerlon Cir, Ste A, Dodge City, KS 67801 Phone: 620-408-9700 Fax: 620-408-9701 | |
Catholic Health Initiatives Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Ross Blvd Ste B, Dodge City, KS 67801 Phone: 999-999-9999 | |
United Methodist Western Kansas Mexican-american Ministries, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2020 Central Ave, Dodge City, KS 67801 Phone: 620-227-9797 Fax: 620-225-2422 |