Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Medical Center - Neonatology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G ROGERS (VICE PRESIDENT OF FINANCE)
(563) 421-6513
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-6000
(563) 421-7759
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-6000
(563) 421-7759
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0482307
—
IA
Enumeration date
05/15/2006
Last updated
06/20/2008
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