Organization
GENESIS ENTERPRISES, INC.
Active
Other names
Genesis Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T SMITH (PRESIDENT)
(901) 466-0441
Entity
Organization
Contact information
Practice address
7058 HIGHWAY 64, OAKLAND, TN 38060-3208
(901) 466-0441
(901) 466-0447
Mailing address
PO BOX 387, 7058 HIGHWAY 64, OAKLAND, TN 38060-0387
(901) 466-0441
(901) 466-0447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000465
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000114193
TENNCARE BETTER HEALTH
TN
01
—
0005802578
AETNA
TN
05
—
00440484
—
MS
05
—
1452445
—
TN
01
—
2678011
AETNA LIFE INSURANCE
TN
01
—
3113340
BLUE CROSS BLUE SHIELD
TN
01
—
7102000TN38060
BLUE CROSS MICHIGAN
MI
01
—
A0000
BLUE CROSS FL
FL
01
—
GENESIS
GEHA
MO
01
—
GENESIS
UNITED HEALTHCARE AARP
TN
01
—
GENESIS ENTERP
BLUE CROSS AR
AR
01
—
GENESIS ENTERPRISES
CONSECO HEALTH
IN
01
—
GENESIS ENTERPRISES
BC BS BLUE
TN
01
—
V2336
HOMELINK
VA
Enumeration date
11/15/2005
Last updated
08/22/2020
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