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GENESIS MEDICAL EDUCATION FOUNDATION INC NPI 1659322931


NPI Information

NPI: 1659322931
Provider Name: GENESIS MEDICAL EDUCATION FOUNDATION INC

Doing Business As: GENESIS FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2004428

Address:
1345 W CENTRAL PARK AVE
DAVENPORT, IA
ZIP 52804
Phone: (563) 421-4400
Get Directions

GENESIS MEDICAL EDUCATION FOUNDATION INC is a family medicine in Davenport, IA. 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 MEDICAL EDUCATION FOUNDATION INC NPI is 1659322931. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Genesis Family Medical Center.

The provider's business location address is:

1345 W CENTRAL PARK AVE
DAVENPORT, IA
ZIP 52804-844
Phone: (563) 421-4400
Fax: (563) 421-4449

The provider's authorized official is Marcia Erickson .
The authorized official title is Manager Of Operations and has the following contact phone number (563) 421-4405.

The CLIA number assigned to this NPI record is 16D2004428 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine=========IOWAYes

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: 11/14/2023

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