GENESIS HEALTH SYSTEM NPI 1760412068

NPI Information

  • NPI: 1760412068
  • Provider Name: GENESIS HEALTH SYSTEM
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 14D2064079
  • Address: 2526 41ST ST
    MOLINE, IL
    ZIP 61265
  • Phone: (309) 792-7063

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NPI Details

GENESIS HEALTH SYSTEM is a family medicine in Moline, IL. The provider is 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. GENESIS HEALTH SYSTEM NPI is 1760412068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2526 41ST ST
MOLINE, IL
ZIP 61265-016
Phone: (309) 792-7063
Fax: (309) 764-9326

The provider's authorized official is Mark J. Kleinschmidt .
The authorized official title is Vp Of Finance and has the following contact phone number (563) 421-6513.

The CLIA number assigned to this NPI record is 14D2064079 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist071002883ILLINOISNo
2111N00000XChiropractor038007310ILLINOISNo
3133V00000XDietitian, Registered164002086ILLINOISNo
4363A00000XPhysician Assistant085001982ILLINOISNo
5207Q00000XFamily Medicine036062709ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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