Organization · Type 2 NPI

Genesis Medical Center, Aledo

Clinic/Center · Aledo, IL

NPI number 1053664938 Active

Practice location

1007 NW 3rd St
Aledo, IL 61231-1317

Call (309) 582-9450 Map

Fax (309) 582-9479

Mailing address

PO Box 672128
Dallas, TX 75267-2128

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

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).

14 other providers at this address

Other clinic/center providers in Aledo

County of Mercer HospitalClinic/Center Aledo, IL NPI 1215961818

See all in Aledo →

NPI record

NPI: 1053664938
Entity type: Organization (Type 2)
Issued: Oct 17, 2012
Last updated: Oct 7, 2026
Status: Active
Subpart: Yes of Genesis Health System

Other names

<unavail>
Genesis Health Group, Aledo · doing business as
Genesis Health Group, Aledo · doing business as
Mercyone Genesis Health Group Aledo · doing business as

Authorized official

Edward Rogalski
Administrator
(309) 582-9250

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053664938

Genesis Medical Center, Aledo's National Provider Identifier is 1053664938, issued on Oct 17, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Aledo, IL. The record was last updated on Oct 7, 2026.