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GENESIS HEALTH SYSTEM NPI 1205860400


NPI Information

NPI: 1205860400
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS CONVENIENT CARE DAVENPORT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1520 W 53RD ST
DAVENPORT, IA
ZIP 52806
Phone: (563) 421-3800
Get Directions

GENESIS HEALTH SYSTEM is a clinic center in Davenport, IA. The provider is 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). GENESIS HEALTH SYSTEM NPI is 1205860400. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Convenient Care Davenport.

The provider's business location address is:

1520 W 53RD ST
DAVENPORT, IA
ZIP 52806-459
Phone: (563) 421-3800
Fax: (563) 421-3810

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

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/21/2022.


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
1261Q00000XClinic/CenterIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10243972MEDICAIDIOWA
208691OTHERIOWABLUE CROSS/BLUE SHIELD IA
3903630OTHERHARVARD PILGRIM
4IA0106OTHERJDHC
5387175OTHERHEALTHLINK
666023OTHERHEALTH ALLIANCE

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: 5/5/2024

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