MEDICARE: COUNTY OF GENESEE OFFICE OF CONTROLLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3502517622	OTHER	MI	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154370344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF GENESEE OFFICE OF CONTROLLER

Provider Business Mailing Address
First Line	:	324 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1937
Country	:	US
Telephone Number	:	810-257-3155
Fax Number	:	810-257-3147

Provider Business Practice Location Address
First Line	:	324 S SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48502-1937
Country	:	US
Telephone Number	:	810-257-3155
Fax Number	:	810-257-3147

Authorized Official
Title or Position	:	SENIOR BILLING CLERK
Name	:	TERA HOOKER
Credential	:
Telephone Number	:	810-257-3104

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/06/2025

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