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GENESEE HEALTH SYSTEM NPI 1093124216


NPI Information

NPI: 1093124216
Provider Name: GENESEE HEALTH SYSTEM

Doing Business As: GENESEE COMMUNITY HEALTH CENTER-SHELTER OF FLINT

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 23D2047788

Address:
924 CEDAR ST
FLINT, MI
ZIP 48503
Phone: (810) 238-4711
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GENESEE HEALTH SYSTEM is a federally qualified health center (fqhc) clinic center in Flint, MI. GENESEE HEALTH SYSTEM NPI is 1093124216. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesee Community Health Center-shelter Of Flint.

The provider's business location address is:

924 CEDAR ST
FLINT, MI
ZIP 48503-620
Phone: (810) 238-4711
Fax: (810) 238-6001

The provider's authorized official is Pamela Pepin .
The authorized official title is Office Manager and has the following contact phone number (810) 496-5797.

The CLIA number assigned to this NPI record is 23D2047788 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2014 and was last updated on 6/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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