Genesis Medical Center Davenport | |
1227 E Rusholme St Davenport IA 52803-2459 | |
(563) 421-3402 | |
(563) 421-3419 |
Full Name | Genesis Medical Center Davenport |
---|---|
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 Medical Center Davenport 1227 E Rusholme St Davenport IA 52803-2459 Ph: (563) 421-3402 | Genesis Medical Center Davenport 1227 E Rusholme St Davenport IA 52803-2459 Ph: (563) 421-3402 |
NPI Number | 1285673459 |
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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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