Organization
GENESIS HEALTH SYSTEM
Active
Other names
GENESIS MEDICAL CENTER DAVENPORT
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH D MALAS (CFO)
(563) 421-6508
Entity
Organization
Contact information
Practice address
1401 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 421-3402
(563) 421-3419
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-3402
(563) 421-3419
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600338
—
IA
01
—
6T033
BLUE CROSS REHAB
IA
Enumeration date
06/05/2006
Last updated
03/07/2023
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