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Organization

GENESIS HEALTH SYSTEM

Active
Other names
Genesis Health Group Bettendorf Pediatric Health Home
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
865 LINCOLN RD, SUITE 200, BETTENDORF, IA 52722-4190
(563) 344-8600
(563) 344-2967
Mailing address
865 LINCOLN RD, SUITE L10, BETTENDORF, IA 52722-4190
(563) 355-9200
(563) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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