| Genesis Health System | |
|
205 11th St Port Byron IL 61275-9037 | |
| (309) 523-3116 | |
| (309) 523-3916 |
| Full Name | Genesis Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 205 11th St, Port Byron, Illinois |
| Authorized Official Name and Position | Mark J Kleinschmidt (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 Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health System 205 11th St Port Byron IL 61275-9037 Ph: (309) 523-3116 |
| NPI Number | 1770699043 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770699043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Riverfront Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Main St, Port Byron, IL 61275 Phone: 312-422-4035 |