Genesis Medical Center Davenport

LBN: Genesis Health System
Genesis Medical Center Davenport is an health care organization with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Genesis Health System can be contacted via phone (563) 421-3402, or through Rogers, Mark via phone (563) 421-6513.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-3402
Fax: (563) 421-3419
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Mark
Phone: (563) 421-6513

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X Iowa

Profile Details

NPI number 1922048594
LBN Legal business name Genesis Health System
DBA Doing business as Genesis Medical Center Davenport
Authorized official Rogers, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 21st, 2022 - about 4 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 1922048594 NPPES
Iowa Other 62303 BLUE CROSS DIALYSIS

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