Genesis Health System

NPI #1114021532 in Moline, Illinois

Provider Information

NPI Number: 1114021532
Entity Type: Organization
Organization Name: Genesis Health System
Primary Specialty: Family Medicine
Enumeration Date: Sep 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2526 41ST ST
Address 2: SUITE 1
City: Moline
State: Illinois
ZIP Code: 61265-5016
Phone: (309) 792-6540

Authorized Official

Name: MR. MARK J KLEINSCHMIDT
Title: VICE PRESIDENT OF FINANCE
Phone: (563) 421-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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