National Provider Identifier Database

GENESIS HEALTH SYSTEM
Hospice Care, Community Based


Contact Information

GENESIS HEALTH SYSTEM
2546 TECH DR
BETTENDORF, IA52722-3345
Phone: 563-421-5400
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for GENESIS HEALTH SYSTEM

NPI Number 1013968262
Legal business name
LBN
GENESIS HEALTH SYSTEM
Authorized official JOSEPH MALAS - (CFO)
Entity Organization
Organization subpart Yes
Enumeration date 05/12/2006
Last updated 07/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 2002574
  • IA Medicaid: 0615849

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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