Organization Active NPI

Genesis Healthcare Systems Inc.

  • Community Health Clinic/Center
  • Lafayette, LA
National Provider Identifier
1700882628
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
1118605 Issued in LA
Legal business name
GENESIS HEALTHCARE SYSTEMS INC.
Practice address
847 Stewart St
Lafayette, LA 70501-8539
Phone
(337) 237-4673
Fax
(337) 237-4674
NPI assigned
Jun 24, 2005
Last updated
Jul 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Will J Arledge
Title
Cfo
Phone
(337) 237-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 1118605 LA Primary

Addresses

Primary practice location

847 Stewart St
Lafayette, LA 70501-8539

Mailing address

847 Stewart St
Lafayette, LA 70501-8539
Phone (337) 237-4673

Other identifiers 1

IdentifierTypeStateIssuer
1118605MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1700882628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 STEWART ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018539",
            "telephone_number": "337-237-4673",
            "fax_number": "337-237-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 STEWART ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018539",
            "telephone_number": "337-237-4673",
            "fax_number": "337-237-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTHCARE SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ARLEDGE",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-237-4673"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "LA",
            "license": "1118605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118605",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.