Genesis Health Group Davenport Clinic Health Home | |
1820 W 3rd St Davenport IA 52802-1812 | |
(563) 421-0500 | |
(563) 326-1901 |
Full Name | Genesis Health Group Davenport Clinic Health Home |
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Speciality | Family Medicine |
Location | 1820 W 3rd 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 |
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Genesis Health Group Davenport Clinic Health Home 865 Lincoln Rd Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9200 | Genesis Health Group Davenport Clinic Health Home 1820 W 3rd St Davenport IA 52802-1812 Ph: (563) 421-0500 |
NPI Number | 1124454947 |
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Provider Enumeration Date | 09/25/2013 |
Last Update Date | 09/25/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124454947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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