| Genesis Health System | |
|
4455 E 56th St Davenport IA 52807-2995 | |
| (563) 355-2577 | |
| (563) 355-4015 |
| Full Name | Genesis Health System |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4455 E 56th St, Davenport, Iowa |
| Authorized Official Name and Position | Mark G Rogers (VP OF FINANCE / CFO) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Health System Po Box 4028 Rock Island IL 61204-4028 Ph: (563) 355-9200 | Genesis Health System 4455 E 56th St Davenport IA 52807-2995 Ph: (563) 355-2577 |
| NPI Number | 1932757333 |
|---|---|
| Provider Enumeration Date | 08/28/2019 |
| Last Update Date | 08/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932757333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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