| Genesis Health Group, Dewitt | |
|
1021 11th St De Witt IA 52742-1209 | |
| (563) 659-9294 | |
| (563) 659-8104 |
| Full Name | Genesis Health Group, Dewitt |
|---|---|
| Speciality | Clinic/Center |
| Location | 1021 11th St, De Witt, Iowa |
| Authorized Official Name and Position | Edward Rogalski (ADMINISTRATOR) |
| Authorized Official Contact | 5636594220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health Group, Dewitt Po Box 4028 Rock Island IL 61204-4028 | Genesis Health Group, Dewitt 1021 11th St De Witt IA 52742-1209 Ph: (563) 659-9294 |
| NPI Number | 1124804182 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 07/09/2026 |
| Certification Date | 07/09/2026 |
| Medicare PECOS PAC ID | 7214841436 |
|---|---|
| Medicare Enrollment ID | O20231107003044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124804182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (NU) | Primary |
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