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GENESIS HEALTH SYSTEM NPI 1902186364


NPI Information

NPI: 1902186364
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS EMERGENCY PHYSICIAN

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-6610
Get Directions

GENESIS HEALTH SYSTEM is an emergency medicine in Davenport, IA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. GENESIS HEALTH SYSTEM NPI is 1902186364. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Genesis Emergency Physician.

The provider's business location address is:

1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803-459
Phone: (563) 421-6610
Fax: (563) 421-7719

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

The enumeration date for this NPI number is 8/17/2011 and was last updated on 8/22/2011.


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
1363L00000XNurse PractitionerNo
2363A00000XPhysician AssistantNo
3207P00000XEmergency MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10496083MEDICAIDIOWA
2I17989MEDICARE PINIOWA

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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