Organization
GENESIS MEDICAL CENTER OF KENOSHA, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN GARRETTO (OFFICE MANAGER)
(262) 652-3500
Entity
Organization
Contact information
Practice address
1020 35TH ST, KENOSHA, WI 53140-1902
(262) 652-3500
(262) 925-8353
Mailing address
1020 35TH ST, KENOSHA, WI 53140-1902
(262) 652-3500
(262) 925-8353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21301500
—
WI
Enumeration date
06/16/2006
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us