Organization
GENESIS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G ROGERS (VICE PRESIDENT, FINANCE/ CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(536) 421-1000
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(536) 421-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
L-092677
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442392
—
IA
Enumeration date
01/25/2007
Last updated
03/09/2009
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