GENERATION CLINICAL PARTNERS LLC (NPI# 1366050007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366050007 |
Entity Type | Organization |
Organization Name | GENERATION CLINICAL PARTNERS LLC |
Other Organization Name | GCP ILLINOIS, PLLC |
Practice Address |
1251 College Ave Alton IL 62002-6735 |
Mailing Address |
Po Box 14713 Belfast ME 04915-4042 |
Practice Telephone | 3149250903 |
Practice Fax Number | 3147642279 |
Mailing Telephone | 3149250903 |
Mailing Fax Number | 3147642279 |
Enumeration Date | 2020-07-20 |
Last Update Date | 2020-09-28 |
Authorized Official Name | MAE LIN (OFFICE MANAGER) |
Authorized Official Telephone | 3149250903 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
GCP Illinois, PLLC | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
Street Address |
1251 COLLEGE AVE |
City | ALTON |
State | IL |
Zip Code | 62002-6735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356365670 | Alton Memorial Hospital | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2006-07-27 |
1659978286 | Maren Valyo | Speech-Language Pathologist | 1251 College Ave, Alton, IL 62002-6735 | 2020-10-06 |
1467085076 | Alyssa Anne Goeddel | Occupational Therapist | 1251 College Ave, Alton, IL 62002-6735 | 2020-02-21 |
1053853390 | Kiley Havera | Occupational Therapist | 1251 College Ave, Alton, IL 62002-6735 | 2016-11-16 |
1649641580 | Kindred Health Care | Skilled Nursing Facility | 1251 College Ave, Alton, IL 62002-6735 | 2015-10-19 |
1306221346 | Eric Shing Lee | Internal Medicine | 1251 College Ave, Alton, IL 62002-6735 | 2015-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447351028 | Instaclinic of Illinois, LLC | Clinic/Center | 2811 Homer Adams Parkway, Alton, IL 62002 | 2006-09-26 |
1942344981 | Fairview Heights Medical Group Sc | Clinic/Center | 1 Memorial Dr, 1st Floor, Alton, IL 62002-6722 | 2007-02-15 |
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1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
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1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
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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.