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Contact Information

GENESIS HEALTH SYSTEM
1227 E RUSHOLME ST
DAVENPORT, IA52803-2459
 Phone: 563-421-6000
 Fax: 563-421-7759
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1912958729
Status Active
Credentials
Entity Individual
Enumeration date 05/15/2006
Last updated 06/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA Medicaid 0482307
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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