Genesis Health System
Organization Active NPI Infectious Disease Physician · Davenport, IA
NPI 1922050814 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1922050814
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- Legal business name
- GENESIS HEALTH SYSTEM
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-4244
- Fax
- (563) 421-4285
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark J. Kleinschmidt
- Title
- Vice President of Finance
- Phone
- (563) 421-6513
Other NPIs on the same Medicare enrollment 16
Member organizations 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031113000044 | IA | Part B Supplier - Clinic/Group Practice | 7214841436 |
Receives reassigned benefits from 306 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bettendorf, IA; Davenport, IA; Eldridge, IA; Durant, IA; De Witt, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | Yes |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-4244
Other names
- Genesis Medical Center - Infectious Disease
Other providers in Davenport, IA
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Health System
- Genesis Medical Center
- Genesis Medical Center
- Genesis Medical Education Foundation Inc
All providers in Davenport, IA · Infectious Disease Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.