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Contact Information

GENESIS HEALTH SYSTEM
1227 E RUSHOLME ST
DAVENPORT, IA52803-2459
 Phone: 563-421-6610
 Fax: 563-421-7719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GENESIS HEALTH SYSTEM · (Female)

NPI # 1902186364
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2011
Last updated 08/22/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Medicaid 0496083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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