| Genesis Health Group, Dewitt | |
|
1021 11th St De Witt IA 52742-1209 | |
| (563) 659-9294 | |
| (563) 659-8104 |
| Full Name | Genesis Health Group, Dewitt |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1021 11th St, De Witt, Iowa |
| Authorized Official Name and Position | Joseph D Malas (CFO) |
| Authorized Official Contact | 5634216508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health Group, Dewitt Po Box 4028 Rock Island IL 61204-4028 Ph: () - | Genesis Health Group, Dewitt 1021 11th St De Witt IA 52742-1209 Ph: (563) 659-9294 |
| NPI Number | 1124804182 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124804182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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