# GENESIS HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS HEALTH SYSTEM
- **Other names:** Genesis Health Group, DeWitt
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124804182
- **Legal business name:** GENESIS HEALTH SYSTEM
- **Authorized official:** EDWARD ROGALSKI (ADMINISTRATOR)
- **Authorized official phone:** (563) 659-4220

## Contact information

- **Practice address:** 1021 11TH ST, DE WITT, IA 52742-1209
- **Practice address phone:** (563) 659-9294
- **Practice address fax:** (563) 659-8104
- **Mailing address:** PO BOX 4028, ROCK ISLAND, IL 61204-4028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/06/2023
- **Last updated:** 07/09/2026