| Genesis Health Group | |
|
210 W 53rd St Davenport IA 52806-2251 | |
| (563) 386-3240 | |
| (563) 386-3211 |
| Full Name | Genesis Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 210 W 53rd St, Davenport, Iowa |
| Authorized Official Name and Position | Mark G. Rogers (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health Group 865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health Group 210 W 53rd St Davenport IA 52806-2251 Ph: (563) 386-3240 |
| NPI Number | 1376654616 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 09/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376654616 | NPI | - | NPPES |
| 5727210012 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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