GENESIS HEALTH SYSTEM


Address: 1227 E Rusholme St, Davenport, IA 52803-2459
Phone: 5634213402

GENESIS HEALTH SYSTEM (NPI# 1922048594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922048594
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 5634213402
Practice Fax Number 5634213419
Mailing Telephone 5634213402
Mailing Fax Number 5634213419
Enumeration Date 2006-06-08
Last Update Date 2008-04-20
Authorized Official Name MR. MARK ROGERS (INTERIM CFO)
Authorized Official Telephone 5634216513
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
========= IA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IA BLUE CROSS DIALYSIS 62303 01

Other Provider/Organization Names

Other Name Type Code
Genesis Medical Center Davenport Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1227 E RUSHOLME ST
City DAVENPORT
State IA
Zip Code 52803-2459

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184014912 Florida Dialysis Center of Haines City LLC Clinic/Center 2340 North Boulevard West, Davenport, FL 33837-8924 2015-02-02
1821499245 Clyfee Dialysis LLC Clinic/Center 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 2014-09-05
1881975662 Green Country Dialysis LLC Clinic/Center 5250 Utica Ridge Rd, Davenport, IA 52807-3872 2011-09-07
1669438495 Renal Life Link Inc Clinic/Center 45597 Highway 27, Davenport, FL 33897-4519 2006-04-21
1700885803 Quad Cities Kidney Center, Ltd. Clinic/Center 120 W Locust St, Davenport, IA 52803-2826 2005-07-20
1093175457 Fresenius Medical Care Quad Cities, LLC Clinic/Center 120 W Locust St, Davenport, IA 52803-2826 2016-02-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942817218 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 2020-09-30
1669001038 Honeyman Dialysis LLC Clinic/Center 701 Tama St Ste 150, Marion, IA 52302-4806 2020-04-07
1588221824 Rcg Mercy Des Moines LLC Clinic/Center 9080 University Ave, West Des Moines, IA 50266-1892 2019-05-22
1639634207 Fresenius Medical Care Ottumwa, LLC Clinic/Center 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 2019-02-07
1245755529 Trusten Dialysis LLC Clinic/Center 1119 73rd St, Windsor Heights, IA 50324-1313 2017-08-08
1477086692 Wallips Dialysis, LLC Clinic/Center 1117 Hazel St, Pella, IA 50219-1338 2017-04-05
1477980365 Honeyman Dialysis LLC Clinic/Center 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 2013-10-09
1982947792 Davis Dialysis LLC Clinic/Center 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 2013-03-29
1972843738 Geyser Dialysis LLC Clinic/Center 2625 N Ankeny Blvd, Ankeny, IA 50023 2013-02-15
1649517673 Kobuk Dialysis LLC Clinic/Center 1005 Pennsylvania Ave Ste 101, Ottumwa, IA 52501-6408 2013-01-10
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Competitor

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City DAVENPORT
Zip Code 52803

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Dataset Information

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.

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