Organization
GENESIS MEDICAL CENTER, ALEDO
Active
Parent organization
GENESIS HEALTH SYSTEM
Other names
Genesis Health Group, Aledo
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HEALTH SYSTEM
Authorized official
JOSEPH D MALAS (CFO)
(563) 421-6508
Entity
Organization
Contact information
Practice address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-3701
(309) 582-3737
Mailing address
1007 NW 3RD ST, ALEDO, IL 61231-1317
(309) 582-3701
(309) 582-3737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07400036
ILLINOIS HEALTH CONNECT PRIMARY CARE PROVIDER ID NUMBER
IL
Enumeration date
10/17/2012
Last updated
10/30/2024
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