| Genesis Family Health | |
|
2330 N Kansas Ave Liberal KS 67901-2372 | |
| (620) 624-0463 | |
| (620) 624-7313 |
| Full Name | Genesis Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2330 N Kansas Ave, Liberal, 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 2330 N Kansas Ave Liberal KS 67901-2372 Ph: (620) 624-0463 |
| NPI Number | 1871789719 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 04/27/2022 |
| Medicare PECOS PAC ID | 7416866124 |
|---|---|
| Medicare Enrollment ID | O20110620000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871789719 | NPI | - | NPPES |
| CH07463B | Other | HRSA OFFICE OF PHARMACY AFFAIRS 340B PROGRAM | |
| 100314080E | 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 |
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