Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Medical Center Dewitt
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ROGERS (INTERIM COF)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
(563) 421-3419
Mailing address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
(563) 421-3419
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
IA
282NC0060X
Critical Access Hospital
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66062
BC OF IOWA SKILLED
IA
Enumeration date
10/20/2006
Last updated
07/21/2022
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