Genesis Health System

NPI #1902186364 in Davenport, Iowa

Provider Information

NPI Number: 1902186364
Entity Type: Organization
Organization Name: Genesis Health System
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 17, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 1227 E RUSHOLME ST
City: Davenport
State: Iowa
ZIP Code: 52803-2459
Phone: (563) 421-6610

Authorized Official

Name: MARK G. ROGERS
Title: VP OF FINANCE / CFO
Phone: (563) 421-6513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X
Emergency Medicine	207P00000X	Primary

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