| Genesis Convenient Care Davenport | |
|
1520 W 53rd St Davenport IA 52806-2459 | |
| (563) 421-3800 | |
| (563) 421-3810 |
| Full Name | Genesis Convenient Care Davenport |
|---|---|
| Speciality | Clinic/center |
| Location | 1520 W 53rd St, Davenport, Iowa |
| Authorized Official Name and Position | Mark G Rogers (VP OF FINANCE) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Convenient Care Davenport Po Box 765 East Moline IL 61244-0765 Ph: (563) 355-9200 | Genesis Convenient Care Davenport 1520 W 53rd St Davenport IA 52806-2459 Ph: (563) 421-3800 |
| NPI Number | 1205860400 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205860400 | NPI | - | NPPES |
| 66023 | Other | HEALTH ALLIANCE | |
| 08691 | Other | IA | BLUE CROSS/BLUE SHIELD IA |
| 387175 | Other | HEALTHLINK | |
| IA0106 | Other | JDHC | |
| 0243972 | Medicaid | IA | |
| 903630 | Other | HARVARD PILGRIM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Iowa) | Primary |
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