Provider Demographics
NPI:1346019288
Name:GENESEE HEALTH PLAN
Entity Type:Organization
Organization Name:GENESEE HEALTH PLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MILANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-232-7740
Mailing Address - Street 1:2171 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-4175
Mailing Address - Country:US
Mailing Address - Phone:810-232-7740
Mailing Address - Fax:
Practice Address - Street 1:2171 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-4175
Practice Address - Country:US
Practice Address - Phone:810-232-7740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty