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 5 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospital Units / Rehabilitation Unit, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / General Acute Care Hospital, Transportation Services / Ambulance. Hospitals / General Acute Care Hospital is 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
Hospital Units / Psychiatric Unit 273R00000X
Hospital Units / Rehabilitation Unit 273Y00000X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Hospitals / General Acute Care Hospital 282N00000X Iowa
Transportation Services / Ambulance 341600000X Iowa

Profile Details

NPI number 1972542264
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 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972542264 NPPES
Iowa MEDICAID 0109710
Iowa MEDICAID 0197558
Iowa Other 370062800
Iowa Other H80
Iowa MEDICAID 0143222
Iowa MEDICAID 0253484
Iowa MEDICAID 3310060
Iowa MEDICAID 0308577
Iowa MEDICAID 0310037
Iowa MEDICAID 0600338
Iowa MEDICAID 0106344
Iowa Other 009755
Iowa Other 60033

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