Genesis Medical Center - Cvt Surgery

LBN: Genesis Health System
Genesis Medical Center - Cvt Surgery is an health care organization with primary practice located at 1236 E Rusholme St Ste 150 , Davenport IA 52803-2433. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Genesis Health System can be contacted via phone (563) 421-3990, or through Kleinschmidt, Mark J. via phone (563) 421-6513.

Contact Information

Primary practice address
1236 E Rusholme St Ste 150 Davenport IA 52803-2433
Phone: (563) 421-3990
Fax: (563) 421-3933
Website:
Map and Directions
Authorized official contact:
Name: Kleinschmidt, Mark J.
Phone: (563) 421-6513

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X

Profile Details

NPI number 1679525562
LBN Legal business name Genesis Health System
DBA Doing business as Genesis Medical Center - Cvt Surgery
Authorized official Kleinschmidt, Mark J.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Jul 27th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679525562 NPPES
Iowa MEDICAID 1600338

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