Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Medical Center Dewitt
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ROGERS (INTERIM CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
(563) 659-4223
Mailing address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
(563) 659-4223
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044289
—
IA
05
—
0071084
—
IA
01
—
035487
HEALTH ALLIANCE
IA
05
—
0600221
—
IA
05
—
0600627
—
IA
01
—
0816
BLUE CROSS OF IL
IL
01
—
12895
BLUE CROSS IA PRIME CARE
IA
01
—
13928820
ACS DEPT OF LABOR
IA
05
—
41054
—
IA
01
—
60062
BLUE CROSS OF IA ED
IA
01
—
A5274204
JOHN DEERE HC
IA
01
—
A52742X1
JOHN DEERE HC
IA
01
—
H72
MIDLANDS
IA
01
—
IA10X2
JOHN DEERE HC ED
IA
01
—
IA10X3
JOHN DEERE HC PROFEES
IA
01
—
IA10X7
JOHN DEERE HC PRIME CARE
IA
Enumeration date
10/10/2006
Last updated
07/07/2008
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