Organization
GENESIS HEALTH SYSTEM
Active
Other names
GENESIS MEDICAL CENTER DAVENPORT
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MICHAEL CROME (COO)
(563) 421-6528
Entity
Organization
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(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
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
282N00000X
General Acute Care Hospital
Primary
—
IA
341600000X
Ambulance
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009755
HEALTH ALLIANCE UB
—
05
—
0106344
—
IA
05
—
0109710
—
IA
05
—
0143222
—
IA
05
—
0197558
—
IA
05
—
0253484
—
IA
05
—
0308577
—
IA
05
—
0310037
—
IA
05
—
0600338
—
IA
05
—
3310060
—
IA
01
—
370062800
DEPT OF LABOR
—
01
—
60033
BLUE CROSS ACUTE
IA
01
—
H80
MIDLANDS CHOICE
—
Enumeration date
06/05/2006
Last updated
06/17/2025
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