Organization
GENESIS HEALTH SYSTEM
Active
Other names
GENESIS CONVENIENT CARE DAVENPORT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G ROGERS (VP OF FINANCE)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1520 W 53RD ST, DAVENPORT, IA 52806-2459
(563) 421-3800
(563) 421-3810
Mailing address
PO BOX 765, EAST MOLINE, IL 61244-0765
(563) 355-9200
(563) 355-3415
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243972
—
IA
01
—
08691
BLUE CROSS/BLUE SHIELD IA
IA
01
—
387175
HEALTHLINK
—
01
—
66023
HEALTH ALLIANCE
—
01
—
903630
HARVARD PILGRIM
—
01
—
IA0106
JDHC
—
Enumeration date
07/11/2006
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up