NPIMap

Organization Active NPI

Genesee County Community Mental Health

  • Case Management Agency
  • Flint, MI
National Provider Identifier
1750656179
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6802068346 Issued in MI
Legal business name
GENESEE COUNTY COMMUNITY MENTAL HEALTH
Practice address
420 W Fifth Avenue
Flint, MI 48503-2445
Phone
(810) 496-5304
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Danis Russel
Title
Ceo
Phone
(810) 257-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6802068346 MI Primary

Addresses

Primary practice location

420 W Fifth Avenue
Flint, MI 48503-2445

Mailing address

420 W 5TH Ave
Flint, MI 48503-2445
Phone (810) 496-5304

National Provider Directory

National Provider Directory
Tax ID family
Genesee County CMH18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1750656179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W 5TH AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032445",
            "telephone_number": "810-496-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W FIFTH AVENUE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032445",
            "telephone_number": "810-496-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE COUNTY COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "RUSSEL",
        "authorized_official_first_name": "DANIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-257-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802068346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.