| Genesis Health Group, Aledo | |
|
1007 Nw 3rd St Aledo IL 61231-1317 | |
| (309) 582-3701 | |
| (309) 582-3737 |
| Full Name | Genesis Health Group, Aledo |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 Nw 3rd St, Aledo, Illinois |
| Authorized Official Name and Position | Doug Cropper (CEO) |
| Authorized Official Contact | 5634216510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health Group, Aledo 1007 Nw 3rd St Aledo IL 61231-1317 Ph: (309) 582-3701 | Genesis Health Group, Aledo 1007 Nw 3rd St Aledo IL 61231-1317 Ph: (309) 582-3701 |
| NPI Number | 1053664938 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 06/25/2013 |
| Medicare PECOS PAC ID | 7315190436 |
|---|---|
| Medicare Enrollment ID | O20130124000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053664938 | NPI | - | NPPES |
| 07400036 | Other | IL | ILLINOIS HEALTH CONNECT PRIMARY CARE PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Illinois) | Primary |
Medical Associates Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Nw 3rd St, Aledo, IL 61231 Phone: 309-582-3700 Fax: 309-582-3737 | |
Mercer Health Center, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Nw 4th St, Aledo, IL 61231 Phone: 309-582-7259 Fax: 309-582-3105 |