# GENESIS HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1558477794
- **Authorized official:** MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (563) 421-6513

## Contact information

- **Practice address:** 3319 SPRING ST, STE 105, DAVENPORT, IA 52807-2125
- **Practice address phone:** (563) 355-7770
- **Practice address fax:** (563) 355-7997
- **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 |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 09/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5727210002 | DMERC | — |