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Organization
GENESIS HEALTH SYSTEM
Active
Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Health Group
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G. ROGERS (VICE PRESIDENT OF FINANCE)
(563) 421-6513
Entity
Organization
Contact information
Practice address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IA
207R00000X
Internal Medicine Physician
—
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
IA
207V00000X
Obstetrics & Gynecology Physician
—
IA
207V00000X
Obstetrics & Gynecology Physician
—
IL
208000000X
Pediatrics Physician
—
IA
208000000X
Pediatrics Physician
—
IL
Other
Enumeration date
01/18/2006
Last updated
04/20/2017
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