| Genesis Health Group | |
|
1008 11th St De Witt IA 52742-1210 | |
| (563) 659-9137 | |
| (563) 659-9869 |
| Full Name | Genesis Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 1008 11th St, De Witt, 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 Rd Suite L10 Bettendorf IA 52722-4190 Ph: (563) 355-9191 | Genesis Health Group 1008 11th St De Witt IA 52742-1210 Ph: (563) 659-9137 |
| NPI Number | 1700992955 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700992955 | NPI | - | NPPES |
| 5727210013 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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