GENESIS HEALTH SYSTEM NPI 1780898809

NPI Information

NPI: 1780898809
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: DBA GENESIS EAP

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
430 W 35TH ST
DAVENPORT, IA
ZIP 52806
Phone: (563) 386-4004
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GENESIS HEALTH SYSTEM is a mental health counselor in Davenport, IA. GENESIS HEALTH SYSTEM NPI is 1780898809. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Genesis Eap.

The provider's business location address is:

430 W 35TH ST
DAVENPORT, IA
ZIP 52806-820
Phone: (563) 386-4004
Fax: (563) 386-4026

The provider's authorized official is Mark J. Kleinschmidt .
The authorized official title is VICE PRESIDENT FINANCEFinance and has the following contact phone number (563) 421-6513.

The CLIA number assigned to this NPI record is 16D0387978 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	104100000X	Social Worker				X

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

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