| 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 | General Acute Care Hospital |
| Location | 1227 E Rusholme St, Davenport, Iowa |
| Authorized Official Name and Position | Mark Rogers (INTERIM CFO) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 | 1972542264 |
|---|---|
| Provider Enumeration Date | 06/05/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7214841436 |
|---|---|
| Medicare Enrollment ID | O20060825000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972542264 | NPI | - | NPPES |
| 0109710 | Medicaid | IA | |
| 0197558 | Medicaid | IA | |
| 370062800 | Other | DEPT OF LABOR | |
| H80 | Other | MIDLANDS CHOICE | |
| 0143222 | Medicaid | IA | |
| 0253484 | Medicaid | IA | |
| 3310060 | Medicaid | IA | |
| 0308577 | Medicaid | IA | |
| 0310037 | Medicaid | IA | |
| 0600338 | Medicaid | IA | |
| 0106344 | Medicaid | IA | |
| 009755 | Other | HEALTH ALLIANCE UB | |
| 60033 | Other | IA | BLUE CROSS ACUTE |
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