Lifetime Health Medical Group

LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 120 Gardenville Pkwy W , West Seneca NY 14224-1324. 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 Association can be contacted via phone (716) 668-3600, or through Carlascio, Deborah via phone (585) 338-1400.

Contact Information

Primary practice address
120 Gardenville Pkwy W West Seneca NY 14224-1324
Phone: (716) 668-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carlascio, Deborah
Phone: (585) 338-1400

Health care specialties

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

Profile Details

NPI number 1578697892
LBN Legal business name Genesee Valley Group Health Association
DBA Doing business as Lifetime Health Medical Group
Authorized official Carlascio, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Jun 17th, 2014 - about 10 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 1578697892 NPPES
New York Other 000513370012 BCBS GROUP NUMBER AH

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