Genesis Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GENESIS HEALTH SYSTEM

Doing business as

Genesis Health Group

Practice address

619 5TH Street
Durant, IA 52747

Phone

(563) 785-4487

Fax

(563) 785-6681

NPI assigned

Aug 22, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark G Rogers

Title

Vice President

Phone

(563) 421-6513

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Health Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1295841047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 LINCOLN RD",
            "address_2": "STE L10",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224190",
            "telephone_number": "563-355-9191",
            "fax_number": "563-355-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 5TH STREET",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "52747",
            "telephone_number": "563-785-4487",
            "fax_number": "563-785-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "563-421-6513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5727210010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Eye Care, P.C.
• Carla S Courtney, O.D.
• Durant Ambulance Service, Inc.
• Durant Chiropractic PC
• Durant Community School District
• Lisa Lynn Geurink, D.O.
• Richard Wayne Grunder, D.D.S.
• Anna M Hansen, PA-C
• Christina Hebeler
• Melissa Ann Hoogerwerf, D.C.

• Family Medicine Physician in Durant, IA
• Providers in Durant, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.