Lifetime Health Medical Group

LBN: Genesee Valley Group Health
Lifetime Health Medical Group is an health care organization with primary practice located at 1850 Brighton Henrietta Town Line Rd , Rochester NY 14623-2532. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Genesee Valley Group Health can be contacted via phone (585) 424-6210, or through Carlascio, Deb via phone (585) 389-6066.

Contact Information

Primary practice address
1850 Brighton Henrietta Town Line Rd Rochester NY 14623-2532
Phone: (585) 424-6210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carlascio, Deb
Phone: (585) 389-6066

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1588077481
LBN Legal business name Genesee Valley Group Health
DBA Doing business as Lifetime Health Medical Group
Authorized official Carlascio, Deb
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2014
Last updated Jun 9th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588077481 NPPES
New York MEDICAID 00355266

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