# GENESIS HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Family Medical Center Health Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689001075
- **Authorized official:** MR. MARK G. ROGERS (VP OF FINANCE)
- **Authorized official phone:** (563) 421-6513

## Contact information

- **Practice address:** 1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1844
- **Practice address phone:** (563) 421-4400
- **Practice address fax:** (563) 421-4445
- **Mailing address:** 865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
- **Mailing address phone:** (563) 355-9200
- **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:** 10/01/2013
- **Last updated:** 10/01/2013