# GENESIS HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Health Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376654616
- **Authorized official:** MR. MARK G. ROGERS (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (563) 421-6513

## Contact information

- **Practice address:** 210 W 53RD ST, DAVENPORT, IA 52806-2251
- **Practice address phone:** (563) 386-3240
- **Practice address fax:** (563) 386-3211
- **Mailing address:** 865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4190
- **Mailing address phone:** (563) 355-9191
- **Mailing address fax:** (563) 355-3419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 09/29/2009