GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI 1114043742

NPI Information

NPI: 1114043742
Provider Name: GENESEE VALLEY GROUP HEALTH ASSOCIATION

Doing Business As: LIFETIME HEALTH MEDICAL GROUP

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
130 EMPIRE DR
WEST SENECA, NY
ZIP 14224
Phone: (716) 668-6170
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GENESEE VALLEY GROUP HEALTH ASSOCIATION is an urgent care clinic center in West Seneca, NY. GENESEE VALLEY GROUP HEALTH ASSOCIATION NPI is 1114043742. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifetime Health Medical Group.

The provider's business location address is:

130 EMPIRE DR
WEST SENECA, NY
ZIP 14224-320
Phone: (716) 668-6170

The provider's authorized official is Deborah Carlascio .
The authorized official title is Vice President Regional Operations and has the following contact phone number (585) 338-1400.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00030600602	OTHER	NEW YORK	LTH AFTER HOURS GROUP#

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

NPI Synchronization or Removal

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