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GENESIS HEALTH SYSTEM NPI 1841394269


NPI Information

NPI: 1841394269
Provider Name: GENESIS HEALTH SYSTEM

Doing Business As: GENESIS HEALTH GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 16D0696738

Address:
865 LINCOLN RD
SUITE 100
BETTENDORF, IA
ZIP 52722
Phone: (563) 355-1000
Get Directions

GENESIS HEALTH SYSTEM is an obstetrics gynecology in Bettendorf, IA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. GENESIS HEALTH SYSTEM NPI is 1841394269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Genesis Health Group.

The provider's business location address is:

865 LINCOLN RD
SUITE 100
BETTENDORF, IA
ZIP 52722-190
Phone: (563) 355-1000
Fax: (563) 344-2975

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

The CLIA number assigned to this NPI record is 16D0696738 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/8/2006 and was last updated on 9/28/2009.


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
1204D00000XNeuromusculoskeletal Medicine & OMMNo
2207V00000XObstetrics & GynecologyYes

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
15727210007OTHERDMERC

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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