| Organization Name: | GENESIS MEDICAL CENTER, ALEDO |
| NPI Number: | 1225380967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUG CROPPER (CEO) |
| Mailing Address: | 409 Nw 9th Ave Aledo |
| State: | IL US |
| Postal Code: | 612311258 |
| Phone Number: | 3095823701 |
| Fax Number: | 3095823737 |
| NPI Enumeration Date: | 10/04/2012 |
| NPI Last Update Date: | 06/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 003772 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |