institution
Genesis House Bloomsburg
Clinic/Center in Bloomsburg, Pennsylvania
NPI 1518124783

Genesis House Bloomsburg is a Clinic/Center based in Bloomsburg, PA. Genesis House Bloomsburg practices in Bloomsburg, PA. The NPI Number for Genesis House Bloomsburg is 1518124783 and holds a License No. 197052 (Pennsylvania).

The current practice location address for Genesis House Bloomsburg is 320 East Second Street, Bloomsburg, PA and can be reached out via phone at 570-784-4073 and via fax at 570-704-4592.

Location: 320 East Second Street, Bloomsburg, PA, 17815
institution
Provider Profile Details
NPI Number
1518124783
Provider Name
Genesis House Bloomsburg
Credential
Provider Entity Type
Organization
Address
320 East Second Street, Bloomsburg, PA, 17815
Phone Number
570-784-4073
Fax Number
570-704-4592
Provider Enumeration Date
05/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007283800 05 PA
institution
Provider Business Practice Location Address Details
Address
320 East Second Street
City
State
Zip
17815
Phone Number
570-784-4073
Fax Number
570-704-4592
person
Provider Business Mailing Address Details
Address
320 East Second Street
City
State
Zip
17815
Phone Number
570-784-4073
Fax Number
570-704-4592
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
197052 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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