| Genesis Family Medical Center Health Home | |
|
1345 W Central Park Ave Davenport IA 52804-1844 | |
| (563) 421-4400 | |
| (563) 421-4445 |
| Full Name | Genesis Family Medical Center Health Home |
|---|---|
| Speciality | Family Medicine |
| Location | 1345 W Central Park Ave, 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 Family Medical Center Health Home 865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9200 | Genesis Family Medical Center Health Home 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 |
| NPI Number | 1689001075 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689001075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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