Lifetime Health Medical Group

LBN: Genesee Valley Group Health Assoc
Lifetime Health Medical Group is an health care organization with primary practice located at 151 Elmview Ave , Hamburg NY 14075-3762. The organization recently has 8 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Genesee Valley Group Health Assoc can be contacted via phone (716) 648-3040, or through Urbanski, Stephen via phone (716) 689-3420.

Contact Information

Primary practice address
151 Elmview Ave Hamburg NY 14075-3762
Phone: (716) 648-3040
Fax: (716) 656-4234
Website:
Map and Directions
Authorized official contact:
Name: Urbanski, Stephen RPH
Phone: (716) 689-3420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 027326 New York
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X PH29884 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1023039088
LBN Legal business name Genesee Valley Group Health Assoc
DBA Doing business as Lifetime Health Medical Group
Authorized official Urbanski, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 31st, 2016 - 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 1023039088 NPPES
Other 2065025 PK
MEDICAID 02619510 PK

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