GENESEE HEALTH SYSTEM (NPI# 1205346939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205346939 |
| Entity Type | Organization |
| Organization Name | GENESEE HEALTH SYSTEM |
| Other Organization Name | GENESEE COMMUNITY HEALTH CENTER |
| Practice Address |
725 Mason St Flint MI 48503-2421 |
| Mailing Address |
421 W 5th Ave Flint MI 48503-2444 |
| Practice Telephone | 8104965777 |
| Mailing Telephone | 8104965777 |
| Mailing Fax Number | 8102573715 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | HONOR POTVIN (CEO) |
| Authorized Official Telephone | 8104965547 |
| Is Organization Subpart | Y |
| Parent Organization Name | GENESEE HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Genesee Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689054322 | Genesee Health System | Clinic/Center | 914 Church St, Flint, MI 48502-1010 | 2015-06-08 |
| 1093124216 | Genesee Health System | Clinic/Center | 924 Cedar St, Flint, MI 48503-3620 | 2014-08-13 |
| 1982018610 | Genesee Health System | Social Worker | 3109 Kleinpell St, Flint, MI 48507 | 2014-06-20 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1548617459 | Genesee Health System | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2016-05-20 |
| 1134569874 | Genesee Health System | Point of Service | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-26 |
| 1659710762 | Genesee Health System | Case Management | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-21 |
| 1710326988 | Genesee Health System | Community/Behavioral Health | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-20 |
| 1730528936 | Genesee Health System | Health Maintenance Organization | 420 W 5th Ave, Flint, MI 48503-2445 | 2013-06-20 |
| 1629417159 | Genesee Health System | Nursing Care | 421 W 5th Ave, Flint, MI 48503-2444 | 2013-06-18 |
| Street Address |
725 MASON ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
| 1275183535 | Drita Nuculovic | Licensed Practical Nurse | 725 Mason St, Flint, MI 48503-2421 | 2019-09-18 |
| 1750930590 | Mallory Lynn Campbell | Registered Nurse | 725 Mason St, Flint, MI 48503-2421 | 2019-09-04 |
| 1922593847 | Kyle Taylor | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2018-06-22 |
| 1174022735 | Shirley Cathey | Peer Specialist | 725 Mason St, Flint, MI 48503-2421 | 2018-02-08 |
| 1427587120 | Rachael Elizabeth Compeau | Nurse Practitioner | 725 Mason St, Flint, MI 48503 | 2017-06-06 |
| 1043678303 | Angelya Higginbotham | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2016-02-02 |
| 1366849374 | Kelsey Ellis | Occupational Therapist | 725 Mason St, Flint, MI 48503-2421 | 2014-11-20 |
| 1083043202 | Thomas Matus | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2013-11-07 |
| 1134568207 | Stephanie A Clarke | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2013-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689054322 | Genesee Health System | Clinic/Center | 914 Church St, Flint, MI 48502-1010 | 2015-06-08 |
| 1093124216 | Genesee Health System | Clinic/Center | 924 Cedar St, Flint, MI 48503-3620 | 2014-08-13 |
| 1336213875 | Hamilton Community Health Network Inc. | Clinic/Center | 5710 Clio Rd., Flint, MI 48504-1524 | 2006-11-17 |
| 1386624278 | Hamilton Community Health Network Inc. | Clinic/Center | 225 E 5th St, Suite 300, Flint, MI 48502-1641 | 2006-01-18 |
| 1033619861 | Hamilton Community Health Network Inc. | Clinic/Center | 812 Root St, Ste 106, Flint, MI 48503 | 2018-02-19 |
| 1366790586 | County of Genesee | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2012-08-20 |
| 1093063307 | County of Genesee Office of Controller | Clinic/Center | 422 W 4th Ave, Flint, MI 48503-2404 | 2012-08-16 |
| 1669548582 | Hamilton Community Health Network Inc. | Clinic/Center | G5399 N Saginaw St, Flint, MI 48505-1536 | 2006-11-24 |
| 1356415806 | Hamilton Community Health Network Inc. | Clinic/Center | 420 W 5th Ave, Flint, MI 48503-2445 | 2006-11-17 |
| 1700950235 | Hamilton Community Health Network, Inc. | Clinic/Center | 2900 N Saginaw St, Flint, MI 48505-4452 | 2006-11-17 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.