Genuwinepersonalcare in Winston Salem - Exclusive Provider Organization
Genuwinepersonalcare - NPI 1508902701
Genuwinepersonalcare is a Exclusive Provider Organization in Winston Salem, North Carolina. Genuwinepersonalcare practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Genuwinepersonalcare is 1508902701. The last update date is 2009-07-16.
Genuwinepersonalcare's current location address is 3305 Stockton St, Winston Salem, North Carolina. You can contact this provider via phone number 3364997113 and fax number 3366501057. The mailing address for Genuwinepersonalcare is 3305 Stockton St, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Genuwinepersonalcare |
|---|---|
| Address | 3305 Stockton St, Winston Salem, North Carolina |
| Phone Number | 3364997113 |
| Fax Number | 3366501057 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Williams Jean Audrey |
| Telephone Number | 3364997113 |
NPI Number Detail
| NPI Number | 1508902701 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2009-07-16 |
Provider Mailing Address Detail
| Address | 3305 Stockton St |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271275135 |
| Phone Number | 3364997113 |
| Fax Number | 3366501057 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3408562 | NC | -- | |
| 8301733 | NC | -- | |
| 8301526 | NC | -- |
Post Comment/ Review Below
What is the Genuwinepersonalcare's 1508902701?
The Genuwinepersonalcare's NPI (National Provider Identifier) Number is 1508902701. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Genuwinepersonalcare's physical address?
The Genuwinepersonalcare is physically located at 3305 Stockton St, in the city of Winston Salem, NC, with the postal code 271275135.
What is Genuwinepersonalcare's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Genuwinepersonalcare's specialized field of practice is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302F00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508902701 to Genuwinepersonalcare?
The Centers for Medicare & Medicaid Services originally issued the 1508902701 to Genuwinepersonalcare on 2007-01-29.
As of what date was the information regarding Genuwinepersonalcare, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Genuwinepersonalcare, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-07-16.