| Genesis Health Group | |
|
2526 41st St Suite 1 Moline IL 61265-5016 | |
| (309) 792-6540 | |
| (309) 764-9326 |
| Full Name | Genesis Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2526 41st St, Moline, Illinois |
| Authorized Official Name and Position | Mark J Kleinschmidt (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 Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health Group 2526 41st St Suite 1 Moline IL 61265-5016 Ph: (309) 792-6540 |
| NPI Number | 1114021532 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114021532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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