GENESIS HEALTH SYSTEM (NPI# 1205860400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205860400 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS CONVENIENT CARE DAVENPORT |
| Practice Address |
1520 W 53rd St Davenport IA 52806-2459 |
| Mailing Address |
Po Box 765 East Moline IL 61244-0765 |
| Practice Telephone | 5634213800 |
| Practice Fax Number | 5634213810 |
| Mailing Telephone | 5633559200 |
| Mailing Fax Number | 5633553415 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | MR. MARK G ROGERS (VP OF FINANCE) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH ALLIANCE | 66023 | 01 | |
| IA | 0243972 | 05 | |
| IA | BLUE CROSS/BLUE SHIELD IA | 08691 | 01 |
| HEALTHLINK | 387175 | 01 | |
| HARVARD PILGRIM | 903630 | 01 | |
| JDHC | IA0106 | 01 |
| Other Name | Type Code |
|---|---|
| GENESIS CONVENIENT CARE DAVENPORT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
| 1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
| 1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
| 1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
| 1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
| 1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
| 1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
| 1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
| Street Address |
1520 W 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52806-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831211 | Christopher M Crome | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-16 |
| 1841712486 | Sara Elizabeth Bytnar | Nurse Practitioner | 1520 W 53rd St, Davenport, IA 52806-2459 | 2017-07-15 |
| 1669576088 | Genesis Health System | Family Medicine | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-09-08 |
| 1770552051 | Catherine A Hagedorn | Emergency Medicine | 1520 W 53rd St, Suite 2, Davenport, IA 52806-2459 | 2006-03-17 |
| 1629047980 | Samuel Sandberg | Family Medicine | 1520 W 53rd St, Suite 2, Davenport, IA 52806-2440 | 2006-03-17 |
| 1952307407 | Thomas E Lyons | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-21 |
| 1508861055 | Paul R Hartmann | Family Medicine | 1520 W 53rd St, Ste 1, Davenport, IA 52806-2440 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543257 | June Swain | Nurse Practitioner | Quad City Family Physician, 3940 Marquette Street, Davenport, IA 52806 | 2019-11-21 |
| 1881055747 | Jace Carter | Chiropractor | 235 West 35th Street Suite 2d, Davenport, IA 52806 | 2016-03-18 |
| 1538468210 | Cody Krech | Dentist | 141 E 46th St, Davenport, IA 52806 | 2011-03-21 |
| 1619287216 | Robert Earl Clark | Occupational Therapist | 6623 N Main St, Davenport, IA 52806 | 2010-10-15 |
| 1689902579 | Nicholas P. Carlson | Nurse Practitioner | 3801 Marguette Street, Suite 200, Davenport, IA 52806 | 2009-12-03 |
| 1295821114 | David Lee Botsko | Dentist | 2334 W. Kimberly Road, Davenport, IA 52806 | 2006-10-05 |
| 1598712903 | Select Specialty Hospital - Quad Cities Inc | Long Term Care Hospital | 1111 West Kimberly Road, Davenport, IA 52806 | 2006-05-30 |
| 1528030350 | Warren Wright | Occupational Therapist | 1008 W 35th St, Davenport, IA 52806 | 2006-02-06 |
| 1144291568 | Gerald Wallace Hess | Chiropractor | 2711 W 63rd St, Ste #1, Davenport, IA 52806 | 2006-02-01 |
| 1487642286 | Virginia Armstrong | Chiropractor | 4811 N Brady St Ste 1a, Davenport, IA 52806 | 2005-10-06 |
| Find all providers in zip 52806 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1003473349 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 45677 Highway 27, Davenport, FL 33897-4546 | 2019-05-22 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1871020842 | Mohib Medical LLC | Clinic/Center | 410 Lionel Way Ste 200, Davenport, FL 33837-7809 | 2017-05-22 |
| 1801110945 | Stark Chiropractic, Ltd. | Clinic/Center | 1019 Mound St, Suite 304, Davenport, IA 52803-3964 | 2010-03-18 |
| 1316404957 | Heartland Endocrine Group Plc | Clinic/Center | 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | 2019-03-01 |
| 1326495771 | Carter Family Chiropractic LLC | Clinic/Center | 235 W 35th St, Suite 2d, Davenport, IA 52806-6141 | 2016-05-16 |
| 1033349253 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 5260 Northwest Blvd, Suite 2, Davenport, IA 52806-2463 | 2009-07-22 |
| 1912192345 | Ramic Davenport, LLC | Clinic/Center | 3006 E 53rd St, Davenport, IA 52807-3012 | 2007-09-10 |
| 1346295466 | Four Corners Internal Medicine, LLC | Clinic/Center | 106 Polo Park East Blvd, Davenport, FL 33897-9407 | 2006-05-24 |
| Find all providers in DAVENPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.