# GENESIS HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Genesis Medical Center - Neonatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912958729
- **Authorized official:** MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE)
- **Authorized official phone:** (563) 421-6513

## Contact information

- **Practice address:** 1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
- **Practice address phone:** (563) 421-6000
- **Practice address fax:** (563) 421-7759
- **Mailing address:** 1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
- **Mailing address phone:** (563) 421-6000
- **Mailing address fax:** (563) 421-7759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 06/20/2008