Lifetime Health Medical Group

LBN: Genesee Valley Group Health Association
Lifetime Health Medical Group is an health care organization with primary practice located at 1850 Brighton Henrietta Town Line Rd , Rochester NY 14623-2532. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Genesee Valley Group Health Association can be contacted via phone (585) 292-8488, or through Pepe, Tiffany Katherine via phone (585) 292-8488.

Contact Information

Primary practice address
1850 Brighton Henrietta Town Line Rd Rochester NY 14623-2532
Phone: (585) 292-8488
Fax: (585) 292-6598
Website:
Map and Directions
Authorized official contact:
Name: Pepe, Tiffany Katherine RPH
Phone: (585) 292-8488

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 017164 New York

Profile Details

NPI number 1497811939
LBN Legal business name Genesee Valley Group Health Association
DBA Doing business as Lifetime Health Medical Group
Authorized official Pepe, Tiffany Katherine RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1497811939 NPPES
New York MEDICAID 01853745

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