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GENESIS HEALTH SYSTEM NPI 1972542264


NPI Information

NPI: 1972542264
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS MEDICAL CENTER DAVENPORT

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-3402
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GENESIS HEALTH SYSTEM is a general acute care hospital in Davenport, IA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GENESIS HEALTH SYSTEM NPI is 1972542264. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Medical Center Davenport.

The provider's business location address is:

1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803-459
Phone: (563) 421-3402
Fax: (563) 421-3419

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

The enumeration date for this NPI number is 6/5/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1273R00000XPsychiatric UnitNo
2273Y00000XRehabilitation UnitNo
3276400000XRehabilitation, Substance Use Disorder UnitNo
4341600000XAmbulanceIOWANo
5282N00000XGeneral Acute Care HospitalIOWAYes

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
10143222MEDICAIDIOWA
20197558MEDICAIDIOWA
30600338MEDICAIDIOWA
4H80OTHERMIDLANDS CHOICE
53310060MEDICAIDIOWA
60106344MEDICAIDIOWA
70310037MEDICAIDIOWA
80308577MEDICAIDIOWA
9370062800OTHERDEPT OF LABOR
100253484MEDICAIDIOWA
11009755OTHERHEALTH ALLIANCE UB
120109710MEDICAIDIOWA
1360033OTHERIOWABLUE CROSS ACUTE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.