Genesis Family Medical Center

LBN: Genesis Health System
Genesis Family Medical Center is an health care organization with primary practice located at 1345 W Central Park Ave , Davenport IA 52804-1844. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Genesis Health System can be contacted via phone (563) 421-4400, or through Walz, Terri via phone (563) 421-4400.

Contact Information

Primary practice address
1345 W Central Park Ave Davenport IA 52804-1844
Phone: (563) 421-4400
Fax: (563) 421-4449
Website:
Map and Directions
Authorized official contact:
Name: Walz, Terri
Phone: (563) 421-4400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1922012764
LBN Legal business name Genesis Health System
DBA Doing business as Genesis Family Medical Center
Authorized official Walz, Terri
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922012764 NPPES
Iowa MEDICAID 0495747
Iowa MEDICAID 0495952

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