GENESIS CONVENIENT CARE
NPI 1538110218
Clinic/Center in Moline, IL
- Organization
- Clinic/Center
- CLIA Number: 14D2304955
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-20-2026
About GENESIS CONVENIENT CARE
This page provides the complete NPI Profile along with additional information for Genesis Convenient Care, a provider established in Moline, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1538110218 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Genesis Convenient Care. The authorized official of this NPI record is Mr. Mark G Rogers (Vice President Of Finance)
- NPI
- 1538110218 Verify this NPI
- Provider Legal Name
- GENESIS HEALTH SYSTEM
- Other Organization Name
- GENESIS CONVENIENT CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2350 41ST ST MOLINE, IL 61265
- Location Phone
- (309) 764-1880
- Location Fax
- (309) 764-0686
- Mailing Address
- 2350 41ST ST MOLINE, IL 61265
- Mailing Phone
- (309) 764-1880
- Mailing Fax
- (309) 764-0686
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2006
- Last Update Date
- 03-01-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 213812 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 96945 | OTHER (01) | IL | BS GROUP # |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2304955
- Facility Type
- Physician Office
- Certificate Effective Date
- May 21, 2024
- Certificate Expiration Date
- May 20, 2026
- Laboratory Director
- RAMESHKUMAR K. RAMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genesis Convenient Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GENESIS CONVENIENT CARE
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538110218, enumerated as an "organization" on May 15, 2006.
The provider is located at 2350 41ST ST MOLINE, IL 61265 and the phone number is (309) 764-1880.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
