Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE)
(563) 421-6513
Entity
Organization
Contact information
Practice address
2350 41ST ST, MOLINE, IL 61265-5014
(309) 764-1880
(309) 764-0686
Mailing address
2350 41ST ST, MOLINE, IL 61265-5014
(309) 764-1880
(309) 764-0686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96945
BS GROUP #
IL
Enumeration date
05/15/2006
Last updated
03/01/2012
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