GENESIS HEALTH SYSTEM (NPI# 1649368523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649368523 |
| Entity Type | Organization |
| Organization Name | GENESIS HEALTH SYSTEM |
| Other Organization Name | GENESIS MEDICAL CENTER DEWITT |
| Practice Address |
1118 11th St De Witt IA 52742-1235 |
| Practice Telephone | 5636594200 |
| Practice Fax Number | 5636594223 |
| Mailing Telephone | 5636594200 |
| Mailing Fax Number | 5636594223 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. MARK ROGERS (INTERIM CFO) |
| Authorized Official Telephone | 5634216513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0044289 | 05 | |
| IA | 0600221 | 05 | |
| IA | 0600627 | 05 | |
| IA | JOHN DEERE HC | A52742X1 | 01 |
| IA | 0071084 | 05 | |
| IA | HEALTH ALLIANCE | 035487 | 01 |
| IA | MIDLANDS | H72 | 01 |
| IA | JOHN DEERE HC PRIME CARE | IA10X7 | 01 |
| IL | BLUE CROSS OF IL | 0816 | 01 |
| IA | BLUE CROSS OF IA ED | 60062 | 01 |
| IA | BLUE CROSS IA PRIME CARE | 12895 | 01 |
| IA | ACS DEPT OF LABOR | 13928820 | 01 |
| IA | JOHN DEERE HC PROFEES | IA10X3 | 01 |
| IA | JOHN DEERE HC ED | IA10X2 | 01 |
| IA | 41054 | 05 | |
| IA | JOHN DEERE HC | A5274204 | 01 |
| Other Name | Type Code |
|---|---|
| Genesis Medical Center Dewitt | 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 |
1118 11TH ST |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801150 | Dewitt Er PC Services | General Acute Care Hospital | 1118 11th St, De Witt, IA 52742-1235 | 2005-09-14 |
| 1558925396 | Wellspire LLC | Skilled Nursing Facility | 1118 11th St, De Witt, IA 52742-1353 | 2019-04-26 |
| 1891204822 | Genesis Health System | Skilled Nursing Facility | 1118 11th St, De Witt, IA 52742-1353 | 2017-09-21 |
| 1407938269 | Genesis Health System | Medicare Defined Swing Bed Unit | 1118 11th St, De Witt, IA 52742-1235 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
| 1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
| 1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
| 1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
| 1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| 1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| Find all providers in zip 52742 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586238 | Dewitt Hospital & Nursing Home, Inc. | General Acute Care Hospital | 1641 S Whitehead Dr, De Witt, AR 72042-2994 | 2005-11-21 |
| 1003801150 | Dewitt Er PC Services | General Acute Care Hospital | 1118 11th St, De Witt, IA 52742-1235 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
| 1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
| 1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
| 1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
| 1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
| 1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
| 1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
| 1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
| 1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
| 1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
| Find all providers with the same taxonomy | ||||
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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.