GENESEE HEALTH SYSTEM (NPI# 1982018610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982018610 |
Entity Type | Organization |
Organization Name | GENESEE HEALTH SYSTEM |
Other Organization Name | GENESEE COMMUNITY HEALTH CENTER -ATHERTON |
Practice Address |
3109 Kleinpell St Flint MI 48507 |
Mailing Address |
420 W 5th Ave Flint MI 48503-2445 |
Practice Telephone | 8104225834 |
Practice Fax Number | 8104225572 |
Mailing Telephone | 8104225834 |
Mailing Fax Number | 8104225572 |
Enumeration Date | 2014-06-20 |
Last Update Date | 2020-07-16 |
Authorized Official Name | JEAN TROOP (DEPUTY DIRECTOR GCHC) |
Authorized Official Telephone | 8102473469 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Genesee Community Health Center -Atherton | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
2298 S Center Rd, Burton, MI 485191166 | 8102573777 |
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 |
1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
1205346939 | Genesee Health System | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2017-10-09 |
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 |
3109 KLEINPELL ST |
City | FLINT |
State | MI |
Zip Code | 48507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043732845 | Milton Carroll | Peer Specialist | 3109 Kleinpell St, Flint, MI 48507-2167 | 2017-07-13 |
1104348416 | Austin Schmidt | Peer Specialist | 3109 Kleinpell St, Flint, MI 48507-2167 | 2017-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
Find all providers in zip 48507 |
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 |
1205346939 | Genesee Health System | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2017-10-09 |
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 |
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.