OrganizationActive
Genesys Regional Medical Center
NPI 1184872400 · Student Health Clinic/Center · Waterford, MI
Provider details
- NPI number
- 1184872400
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Mcculloch, Billing and Ta Coordinator(517) 908-0847
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2989 Van Zandt Rd
Waterford, MI 48329-3360
Phone: (248) 674-4876
Fax: (248) 674-6349
Street-level locationGet directions
Mailing address
2989 Van Zandt Rd
Waterford, MI 48329-3360
Other names (DBA / former)
- Doing business as
- Waterford Teen Health Center
Registry dates
- Enumerated
- 2008-08-28
- Last updated
- 2008-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.