Genesis Health System
Clinic/Center in Moline, IL. Organization (NPI-2).
NPI number1538110218
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1538110218
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Health System
- Organization subpart
- No
- Enumeration date
- May 15, 2006
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Genesis Convenient Care (Doing Business As)
Practice location
2350 41st StMoline, IL 61265-5014
Phone 309-764-1880 · Fax 309-764-0686
Mailing address
2350 41st StMoline, IL 61265-5014
Phone 309-764-1880 · Fax 309-764-0686
Authorized official
Mark G Rogers
Vice President Of Finance
5634216513
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