GENESIS HEALTH SYSTEM (NPI# 1457596199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457596199 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS MEDICAL CENTER DAVENPORT |
| Practice Address |
1227 E Rusholme St Davenport IA 52803-2459 |
| Practice Telephone | 5634213423 |
| Practice Fax Number | 5634213419 |
| Mailing Telephone | 5634213423 |
| Mailing Fax Number | 5634213419 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | MR. MARK ROGERS (CFO) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Other Name | Type Code |
|---|---|
| GENESIS MEDICAL CENTER 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 |
1227 E RUSHOLME ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690762 | Ilya B Volfson | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2005-12-15 |
| 1912523432 | Abby Mariah Shumate | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-06-20 |
| 1477173532 | Julie Anne Daniels | Occupational Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-04-19 |
| 1083253306 | Charles Grant Dennehey | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2020-01-03 |
| 1942850011 | Alyssa Sue Busch | Nurse Practitioner | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-09-19 |
| 1528616901 | Genesis Health System | Psychologist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-08-29 |
| 1992260202 | Matthew Adam Steinbeck | Pharmacist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2019-01-31 |
| 1609394964 | Chelsea Speer | Physician Assistant | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-09-06 |
| 1508387382 | Anesthesia Intensive Care LLC | Anesthesiology | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-30 |
| 1417478314 | Michelle Engstrom | Physical Therapist | 1227 E Rusholme St, Davenport, IA 52803-2459 | 2017-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861932774 | Woodbury County Emergency Services | Ambulance | 121 Deer Run Trl, Climbing Hill, IA 51015-8124 | 2017-02-27 |
| 1588115893 | Midwest Medical Transport Company, LLC-sioux City, Ia. | Ambulance | 1015 Court St, Sioux City, IA 51105-1708 | 2016-10-21 |
| 1932650272 | Midwest Medical Transport Company, LLC-albia, Ia | Ambulance | 521 I Avenue West, Albia, IA 52531 | 2016-10-21 |
| 1538612320 | Midwest Medical Transport Company LLC | Ambulance | 118 N Runger Avenue, Sheldon, IA 51201-1558 | 2016-07-27 |
| 1003266339 | Midwest Medical Transport Company LLC | Ambulance | 1812 4th St Sw, Mason City, IA 50401-1609 | 2016-06-17 |
| 1740645332 | Midwest Medical Transport Company LLC | Ambulance | 2110 23rd Ave Ste A, Council Bluffs, IA 51501-7054 | 2015-12-23 |
| 1982069134 | Midwest Medical Transport Company LLC | Ambulance | 705 E Division St, Audubon, IA 50025-1316 | 2015-12-15 |
| 1720473812 | Care Ambulance, LLC | Ambulance | 1801 S. Riverside, Iowa City, IA 52246-5704 | 2015-04-06 |
| 1437543147 | Coin Fire and Rescue | Ambulance | 211 1st Street, Coin, IA 51636 | 2015-03-20 |
| 1043638497 | Delaware Township Fire Department | Ambulance | 3992 E Broadway Ave, Des Moines, IA 50317-8917 | 2014-04-02 |
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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.