GENESIS COMMUNITY HEALTH, INC. – NPI #1215438981
Clinic/Center

GENESIS COMMUNITY HEALTH, INC. is an AHC clinic located in BOYNTON BEACH, FL. NPPES has assigned the NPI number 1215438981 to GENESIS COMMUNITY HEALTH, INC. on February 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. GENESIS COMMUNITY HEALTH, INC. is also known by the name BOYNTON BEACH DENTAL. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Nov 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESIS COMMUNITY HEALTH, INC. below.

NPI Profile for
GENESIS COMMUNITY HEALTH, INC.

NPI Number
1215438981
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESIS COMMUNITY HEALTH, INC.
Other Name: BOYNTON BEACH DENTAL
Primary location
2623 S SEACREST BLVD STE 112
BOYNTON BEACH, FL 33435-7531
Phone: (561) 810-8790 Fax: (561) 810-8793
Mailing address
639 E OCEAN AVE STE 409
BOYNTON BEACH, FL 33435-5017
Phone: (561) 806-6835 Fax: (561) 806-6607
Organization Subpart
No
Authorized Official
DEANNA WARREN
PRESIDENT/CEO
Phone: (561) 806-6835
Updated
Certification Date
Nov 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GENESIS COMMUNITY HEALTH, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL006608607
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.