| Genesis Health System | |
|
202 Picard Street Alpha IL 61413 | |
| (309) 629-4601 | |
| (309) 629-2019 |
| Full Name | Genesis Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Picard Street, Alpha, 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 Health System 865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health System 202 Picard Street Alpha IL 61413 Ph: (309) 629-4601 |
| NPI Number | 1205942083 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205942083 | NPI | - | NPPES |
| 5727210018 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |