| Genesis Health Group | |
|
1520 W 53rd St Davenport IA 52806-2459 | |
| (563) 421-4900 | |
| (563) 421-4910 |
| Full Name | Genesis Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1520 W 53rd St, Davenport, Iowa |
| Authorized Official Name and Position | Mark G Rogers (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health Group 865 Lincoln Road Ste L10 Bettendorf IA 52722 Ph: (563) 355-9191 | Genesis Health Group 1520 W 53rd St Davenport IA 52806-2459 Ph: (563) 421-4900 |
| NPI Number | 1669576088 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669576088 | NPI | - | NPPES |
| 5727210011 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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