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GENESIS HEALTH GROUP DAVENPORT CLINIC HEALTH HOME
NPI 1124454947
Family Medicine in Davenport, IA

Active since September 25, 2013CLIA 16D0991546 · Waiver
1820 W 3RD ST, DAVENPORT, IA 52802(563) 421-0500(563) 326-1901 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Genesis Health Group Davenport Clinic Health Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS HEALTH GROUP DAVENPORT CLINIC HEALTH HOME (NPI 1124454947) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 16, 2026 and lists Mark G. Rogers, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1124454947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address1820 W 3RD STDavenport, IA 52802-1812
Mailing Address865 Lincoln Rd, Suite L10Bettendorf, IA 52722-4190 · (563) 355-9200 · Fax (563) 355-3419
Phone(563) 421-0500
Fax(563) 326-1901
Organization SubpartNo
Authorized OfficialMark G. RogersVp Of Finance · (563) 421-6513
Enumeration DateSeptember 25, 2013
✔ NPI 1124454947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1820 W 3RD ST, Davenport, IA 52802
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Other Names 1

Doing Business AsGenesis Health Group Davenport Clinic Health Home

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0991546

Genesis Health Group Davenport Clinic · Davenport, IA
Active · expires Nov 16, 2026
CLIA Number16D0991546
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorBarbara R. Barnell
Laboratory Phone(563) 326-1661
Laboratory LocationGenesis Health Group Davenport Clinic1820 West 3rd St, Davenport, IA 52802
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD L KREITER MD PC
Orthopaedic Surgery
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 333-2000
RICHARD L KREITER MD
Orthopaedic Surgery
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 333-2000
MRS. KELSEY LYNN BARGER PA-C
Physician Assistant
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 421-0660
DAVENPORT CLINIC, P.C.
Clinic/Center (Primary Care)
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 326-1661
DR. KOEL JOSEPH BROOKS PT, DPT.
Physical Therapist
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 327-0135
MICHELLE NICOLE WILLIAMS
Physical Therapy Assistant
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 327-0135
MARGARET E NEWKIRK ARNP
Nurse Practitioner (Women's Health)
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 326-1661
DR. ANN E ODONNELL D.O.
Internal Medicine
1820 W 3RD ST
DAVENPORT, IA 52802
Scott County (563) 326-1661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Health System's NPI number?

The NPI number for Genesis Health System is 1124454947. It was assigned to this organization in the NPPES registry on September 25, 2013. The provider is doing business as Genesis Health Group Davenport Clinic Health Home.

Where is Genesis Health System located?

Genesis Health System is located at 1820 W 3rd St, Davenport, IA 52802. The listed phone number is (563) 421-0500.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Genesis Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0991546) is associated with this NPI, valid through November 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.