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GENESIS HEALTH SYSTEM NPI 1497772008


NPI Information

NPI: 1497772008
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS CONVENIENT CARE BETTENDORF

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4017 DEVILS GLEN RD
BETTENDORF, IA
ZIP 52722
Phone: (563) 421-3700
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GENESIS HEALTH SYSTEM is a clinic center in Bettendorf, 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 1497772008. The provider is registered as an organization entity type.
The provider Is Doing Business As Genesis Convenient Care Bettendorf.

The provider's business location address is:

4017 DEVILS GLEN RD
BETTENDORF, IA
ZIP 52722-221
Phone: (563) 421-3700
Fax: (563) 421-3710

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

The enumeration date for this NPI number is 7/17/2006 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
108753OTHERIOWABLUE CROSS/BLUE SHIELD IA
2IA0100OTHERJDHC
32243972MEDICAIDIOWA
4387175OTHERHEALTHLINK
5616351OTHERHARVARD PILGRIM
6660022OTHERHEALTH 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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