Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Occupational Health
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROGERS (VP/CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
2350 41ST ST, MOLINE, IL 61265-5014
(309) 764-0684
(309) 764-0686
Mailing address
PO BOX 1246, MOLINE, IL 61266-1246
(309) 764-0684
(309) 764-0686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0005413
IL
Other
Enumeration date
08/12/2010
Last updated
07/25/2011
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