GENESIS HEALTH SYSTEM (NPI# 1205942083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205942083 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS HEALTH GROUP |
| Practice Address |
202 Picard Street Alpha IL 61413 |
| Mailing Address |
865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 |
| Practice Telephone | 3096294601 |
| Practice Fax Number | 3096292019 |
| Mailing Telephone | 5633559191 |
| Mailing Fax Number | 5633553419 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-09-29 |
| Authorized Official Name | MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 5727210018 | 01 |
| Other Name | Type Code |
|---|---|
| Genesis Health Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| Street Address |
202 PICARD STREET |
| City | ALPHA |
| State | IL |
| Zip Code | 61413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871540 | Artemio L Cajigal | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1053838458 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S. 1st St, Alpha, IL 61413-0355 | 2017-08-25 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| 1164582920 | Lewis Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 211 South 1st Street, Alpha, IL 61413-0355 | 2006-12-11 |
| 1184107559 | Samantha E Janecek | Speech-Language Pathologist | 101 E A St, Alpha, IL 61413-9782 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717004 | Douglas Gleason Danford | Private Vehicle | 774 Alpha Rd, Alpha, OH 45301-8009 | 2020-10-13 |
| 1265950067 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 909 West Blvd, Alpha, NJ 08865-4258 | 2017-09-01 |
| 1720529415 | Alternatives Inc. | Community/Behavioral Health | 1507 West Blvd, Alpha, NJ 08865-4645 | 2017-03-14 |
| 1144761180 | Alfa Rehabilitation Center LLC | Physical Medicine & Rehabilitation | 2 Industrial Rd, Ste 3-a, Alpha, NJ 08865-4081 | 2017-03-09 |
| 1063950012 | The Arc, Warren County Chapter | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Pohatcong St, Alpha, NJ 08865-4353 | 2017-02-09 |
| 1992134522 | Bruce Eric Frey | Veterinarian | 334 3rd Ave, Alpha, NJ 08865-4310 | 2013-11-04 |
| 1831466119 | Laura A Skrzenski | Pharmacist | 1596 Third Ave, Alpha, NJ 08865 | 2011-11-30 |
| 1801127618 | Almar Sales Company | Durable Medical Equipment & Medical Supplies | 1167 Third Avenue, Alpha, NJ 08865 | 2010-01-18 |
| 1184889453 | Rosato Family Eye Care LLC | Optometrist | 901 Third Ave, Alpha, NJ 08865-4525 | 2008-07-25 |
| 1710197819 | Maricon Siapno Pepingco | Physical Therapist | 913 7th Ave, Alpha, NJ 08865-4543 | 2007-05-23 |
| Find all providers in ALPHA | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710042494 | Jude Germaine | Family Medicine | 493 Ringwood Ave, Alpha, NJ 08865-4820 | 2006-12-24 |
| 1609871540 | Artemio L Cajigal | Family Medicine | 202 Picard Street, Alpha, IL 61413 | 2005-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.