Provider Demographics
NPI:1558517367
Name:ASCENSION GENESYS HOSPITAL
Entity Type:Organization
Organization Name:ASCENSION GENESYS HOSPITAL
Other - Org Name:GENESYS REGIONAL MEDICAL CENTER - CRNAS
Other - Org Type:Other Name
Authorized Official - Title/Position:REGIONAL DIRECTOR, REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ADKISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-606-5183
Mailing Address - Street 1:1 GENESYS PKWY
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-8065
Mailing Address - Country:US
Mailing Address - Phone:810-606-5000
Mailing Address - Fax:
Practice Address - Street 1:1 GENESYS PKWY
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-8065
Practice Address - Country:US
Practice Address - Phone:810-606-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASCENSION GENESYS HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-12
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty