| Genesis Health System | |
|
619 5th Street Durant IA 52747 | |
| (563) 785-4487 | |
| (563) 785-6681 |
| Full Name | Genesis Health System |
|---|---|
| Speciality | Family Medicine |
| Location | 619 5th Street, Durant, Iowa |
| Authorized Official Name and Position | Mark G Rogers (VICE PRESIDENT) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health System 865 Lincoln Rd Ste L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health System 619 5th Street Durant IA 52747 Ph: (563) 785-4487 |
| NPI Number | 1295841047 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295841047 | NPI | - | NPPES |
| 5727210010 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |