| Genesis Convenient Care | |
|
2350 41st St Moline IL 61265-5014 | |
| (309) 764-1880 | |
| (309) 764-0686 |
| Full Name | Genesis Convenient Care |
|---|---|
| Speciality | Clinic/center |
| Location | 2350 41st St, Moline, 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 Convenient Care 2350 41st St Moline IL 61265-5014 Ph: (309) 764-1880 | Genesis Convenient Care 2350 41st St Moline IL 61265-5014 Ph: (309) 764-1880 |
| NPI Number | 1538110218 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538110218 | NPI | - | NPPES |
| 96945 | Other | IL | BS GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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