Organization
GENESIS HEALTHCARE, INC.
Active
Organization
GENESIS HEALTHCARE, INC.
Active
Other names
Mobile Health Clinic #1
Organization subpart
No
Provider details
NPI number
Authorized official
TONY MEGNA (CEO)
(803) 254-3676
Entity
Organization
Contact information
Practice address
830 ROBERTSON BLVD, WALTERBORO, SC 29488-3081
(843) 584-4353
(803) 254-3678
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
08/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up