Genesis Health Group, Aledo | |
1007 Nw 3rd St Aledo IL 61231-1317 | |
(309) 582-3701 | |
(309) 582-3737 |
Full Name | Genesis Health Group, Aledo |
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Speciality | Clinic/Center |
Location | 1007 Nw 3rd St, Aledo, Illinois |
Authorized Official Name and Position | Joseph D Malas (CFO) |
Authorized Official Contact | 5634216508 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genesis Health Group, Aledo 1007 Nw 3rd St Aledo IL 61231-1317 Ph: (309) 582-3701 | Genesis Health Group, Aledo 1007 Nw 3rd St Aledo IL 61231-1317 Ph: (309) 582-3701 |
NPI Number | 1053664938 |
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Provider Enumeration Date | 10/17/2012 |
Last Update Date | 10/30/2024 |
Medicare PECOS PAC ID | 7315190436 |
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Medicare Enrollment ID | O20130124000450 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053664938 | NPI | - | NPPES |
07400036 | Other | IL | ILLINOIS HEALTH CONNECT PRIMARY CARE PROVIDER ID NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Illinois) | Primary |
Medical Associates Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-582-3700 Fax: 309-582-3737 | |
Mercer Health Center, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Nw 4th St, Aledo, IL 61231 Phone: 309-582-7259 Fax: 309-582-3105 |