Genesys Integrated Group Practice PC

Organization Active NPI Urgent Care Clinic/Center · Clio, MI

NPI 1457579161 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1457579161
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
GENESYS INTEGRATED GROUP PRACTICE PC
Practice address
4154 W Vienna Rd
Clio, MI 48420-9402
Phone
(810) 686-7397
Fax
(810) 686-3756
NPI assigned
Apr 20, 2007
Organization subpart
No

Authorized official

Name
Paul Garson
Title
Chief Financial Officer
Phone
(810) 424-2007

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Genesys Integrated Group Practice PC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MI Yes

Addresses

Primary practice location

4154 W Vienna Rd
Clio, MI 48420-9402

Mailing address

3495 S Center Rd
Burton, MI 48519-1455
Phone (810) 424-2007

Other identifiers

IdentifierTypeStateIssuer
0C56086OtherMIHEALTHPLUS OF MICHIGAN
UC250004OtherMIM-CARE
0M23560COtherMIHEALTH ALLIANCE PLAN

Other providers in Clio, MI

All providers in Clio, MI · Urgent Care Clinic/Center in Michigan

Sources for this page

Verify at the official NPI Registry.