| Genesis Health System | |
|
1227 E Rusholme St Davenport IA 52803-2459 | |
| (563) 421-3402 | |
| (563) 421-3419 |
| Full Name | Genesis Health System |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1227 E Rusholme St, Davenport, Iowa |
| Authorized Official Name and Position | Mark Rogers (INTERIM CFO) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health System 1227 E Rusholme St Davenport IA 52803-2459 Ph: (563) 421-3402 | Genesis Health System 1227 E Rusholme St Davenport IA 52803-2459 Ph: (563) 421-3402 |
| NPI Number | 1285673459 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285673459 | NPI | - | NPPES |
| 0600338 | Medicaid | IA | |
| 6S033 | Other | IA | BLUE CROSS PSYCH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Iowa) | Primary |
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