Genuine Care Healthcare Systems Llc | |
1202 Cleveland Ave Cheyenne WY 82001-6700 | |
(307) 426-4916 | |
(877) 585-7008 |
Full Name | Genuine Care Healthcare Systems Llc |
---|---|
Speciality | Clinic/Center |
Location | 1202 Cleveland Ave, Cheyenne, Wyoming |
Authorized Official Name and Position | Jennifer Elizabeth Davis (FNP/OWNER) |
Authorized Official Contact | 3072144537 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Genuine Care Healthcare Systems Llc 1202 Cleveland Ave Cheyenne WY 82001-6700 Ph: (307) 426-4916 | Genuine Care Healthcare Systems Llc 1202 Cleveland Ave Cheyenne WY 82001-6700 Ph: (307) 426-4916 |
NPI Number | 1629715602 |
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Provider Enumeration Date | 05/19/2022 |
Last Update Date | 11/13/2022 |
Medicare PECOS PAC ID | 1456735083 |
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Medicare Enrollment ID | O20220831002692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629715602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer E Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447572136 PECOS PAC ID: 7214063643 Enrollment ID: I20100324001231 |
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