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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

NPI Number 1912958729
LBN Legal business name GENESIS HEALTH SYSTEM
Authorized official MARK ROGERS - (VICE PRESIDENT OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2006
Last updated 06/20/2008 - About 18 years ago
Identifiers
IA Medicaid 0482307
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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