| Genesis Family Medical Center | |
|
1345 W Central Park Ave Davenport IA 52804-1844 | |
| (563) 421-4400 | |
| (563) 421-4449 |
| Full Name | Genesis Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1345 W Central Park Ave, Davenport, Iowa |
| Authorized Official Name and Position | Terri Walz (PROGRAM ASSISTANT) |
| Authorized Official Contact | 5634214400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Family Medical Center 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 | Genesis Family Medical Center 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 |
| NPI Number | 1922012764 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922012764 | NPI | - | NPPES |
| 0495747 | Medicaid | IA | |
| 0495952 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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