GENESYS REGIONAL MEDICAL CENTER NPI 1184872400

NPI Information

NPI: 1184872400
Provider Name: GENESYS REGIONAL MEDICAL CENTER

Doing Business As: WATERFORD TEEN HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
2989 VAN ZANDT RD
WATERFORD, MI
ZIP 48329
Phone: (248) 674-4876
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GENESYS REGIONAL MEDICAL CENTER is a student health clinic center in Waterford, MI. GENESYS REGIONAL MEDICAL CENTER NPI is 1184872400. The provider is registered as an organization entity type.
The provider Is Doing Business As Waterford Teen Health Center.

The provider's business location address is:

2989 VAN ZANDT RD
WATERFORD, MI
ZIP 48329-360
Phone: (248) 674-4876
Fax: (248) 674-6349

The provider's authorized official is Brenda L Mcculloch .
The authorized official title is Billing And Ta Coordinator and has the following contact phone number (517) 908-0847.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.

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	261QS1000X	Clinic/Center	Student Health			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: 5/5/2024

NPI Synchronization or Removal

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