# GENESIS HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENESIS HEALTH SYSTEM
- **Other names:** Genesis VNA and Hospice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417908690
- **Legal business name:** GENESIS HEALTH SYSTEM
- **Authorized official:** MR. DOUG P. CROPPER (PRESIDENT AND CEO)
- **Authorized official phone:** (563) 421-6510

## Contact information

- **Practice address:** 611 N 2ND ST, CLINTON, IA 52732-3839
- **Practice address phone:** (563) 242-7165
- **Practice address fax:** (563) 242-7197
- **Mailing address:** 611 N 2ND ST, CLINTON, IA 52732-3839
- **Mailing address phone:** (563) 242-7165
- **Mailing address fax:** (563) 242-7197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 08/27/2008