LIFETIME HEALTH MEDICAL GROUP – NPI #1588077481
Clinic/Center

LIFETIME HEALTH MEDICAL GROUP is an AHC clinic located in ROCHESTER, NY. NPPES has assigned the NPI number 1588077481 to LIFETIME HEALTH MEDICAL GROUP on June 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIFETIME HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is GENESEE VALLEY GROUP HEALTH. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIFETIME HEALTH MEDICAL GROUP below.

NPI Profile for
GENESEE VALLEY GROUP HEALTH

NPI Number
1588077481
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GENESEE VALLEY GROUP HEALTH
Doing Business As (dba): LIFETIME HEALTH MEDICAL GROUP
Primary location
1850 BRIGHTON HENRIETTA TOWN LINE RD
ROCHESTER, NY 14623-2532
Phone: (585) 424-6210 Fax:
Mailing address
333 BUTTERNUT DR
SYRACUSE, NY 13214-2141
Phone: (315) 671-6951 Fax:
Organization Subpart
No
Authorized Official
DEB CARLASCIO
VICE PRESIDENT OF OPERATIONS
Phone: (585) 389-6066
Updated
Identifiers

Identifiers for LIFETIME HEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY00355266
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.