Genesis Convenient Care Davenport
LBN: Genesis Health System
Genesis Convenient Care Davenport is an health care organization with primary practice located at 1520 W 53Rd St , Davenport IA 52806-2459. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
Genesis Health System can be contacted via phone (563) 421-3800, or through Rogers, Mark G via phone (563) 421-6513.
Contact Information
Primary practice address
1520 W 53Rd St
Davenport IA 52806-2459
Phone: (563) 421-3800
Fax: (563) 421-3810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Iowa |
Profile Details
| NPI number | 1205860400 |
|---|---|
| LBN Legal business name | Genesis Health System |
| DBA Doing business as | Genesis Convenient Care Davenport |
| Authorized official | Rogers, Mark G |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205860400 | NPPES |
| Other | 66023 | HEALTH ALLIANCE | |
| Other | 08691 | HEALTH ALLIANCE | |
| Other | 387175 | HEALTH ALLIANCE | |
| Other | IA0106 | HEALTH ALLIANCE | |
| MEDICAID | 0243972 | HEALTH ALLIANCE | |
| Other | 903630 | HEALTH ALLIANCE |
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