Genesis Health Group | |
202 Picard Street Alpha IL 61413 | |
(309) 629-4601 | |
(309) 629-2019 |
Full Name | Genesis Health Group |
---|---|
Speciality | Family Medicine |
Location | 202 Picard Street, Alpha, Illinois |
Authorized Official Name and Position | Mark G Rogers (VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 5634216513 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genesis Health Group 865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health Group 202 Picard Street Alpha IL 61413 Ph: (309) 629-4601 |
NPI Number | 1205942083 |
---|---|
Provider Enumeration Date | 08/22/2006 |
Last Update Date | 09/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205942083 | NPI | - | NPPES |
5727210018 | Other | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |