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Export Provider Record NPI 1104236249
Ascension Genesys Hospital
Organization Subpart: NO
Active
NPI Number1104236249
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Hospice and Palliative Medicine
Provider Details
NPI1104236249
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2014-04-29
Last Updated2019-03-11
Authorized OfficialJosephine Herman
DIRECTOR PHYSICIAN SERVICES
Phone: 8106065893
Mailing Address5445 Ali Dr
Grand Blanc, MI 48439-5191
United States
Phone: (810) 695-9996
📍 View Map
Primary Practice Address1 Genesys Pkwy
Grand Blanc, MI 48439-8065
United States
Phone: (810) 606-5000
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363L00000X – Nurse PractitionerMI4707214779
Yes207RH0002X – Internal Medicine, Hospice and Palliative MedicineMI4707214779
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About NPI 1104236249

Ascension Genesys Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1104236249. The primary specialty listed is Internal Medicine, Hospice and Palliative Medicine. The organization is located in Grand Blanc, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-04-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104236249?

NPI 1104236249 belongs to Ascension Genesys Hospital, a Internal Medicine, Hospice and Palliative Medicine in Grand Blanc, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104236249 active?

The current status of NPI 1104236249 in the NPPES registry is Active. The record was last updated on 2019-03-11.

What specialty is NPI 1104236249?

NPI 1104236249 is classified under the taxonomy Internal Medicine, Hospice and Palliative Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104236249?

You can verify NPI 1104236249 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104236249?

The primary practice address on file for NPI 1104236249 is 1 Genesys Pkwy, Grand Blanc, MI 48439-8065. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104236249 issued?

NPI 1104236249 was first issued (enumerated) on 2014-04-29. The NPPES record was last updated on 2019-03-11.

Practice Location Map

Ascension Genesys Hospital is located at 1 Genesys Pkwy, Grand Blanc, MI. Use the map below to find directions or verify the practice location.

📍 1 Genesys Pkwy, Grand Blanc, MI 48439-8065  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ascension Genesys Hospital. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104236249. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner4707214779MI
Internal Medicine, Hospice and Palliative Medicine4707214779MI
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162