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GENESIS MEDICAL CENTER
NPI 1679628838
General Acute Care Hospital in Davenport, IA

Active since January 25, 2007CLIA 16D2004428 · Waiver
1227 E RUSHOLME ST, DAVENPORT, IA 52803(536) 421-1000 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Genesis Medical Center NPPES

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

GENESIS MEDICAL CENTER (NPI 1679628838) is a healthcare organization registered as a general acute care hospital in Davenport, Iowa and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Mark G Rogers, Vice President, Finance/ Cfo, as its authorized official.

NPPES Registry Identity

NPI1679628838
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameGENESIS MEDICAL CENTER
Location Address1227 E RUSHOLME STDavenport, IA 52803-2459
Mailing Address1227 E Rusholme StDavenport, IA 52803-2459 · (536) 421-1000
Phone(536) 421-1000
Organization SubpartNo
Authorized OfficialMark G RogersVice President, Finance/ Cfo · (563) 421-6513
Enumeration DateJanuary 25, 2007
Last NPPES UpdateMarch 9, 2009
✔ NPI 1679628838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IA · L-092677
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

1227 E RUSHOLME ST, Davenport, IA 52803
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Other Identifiers 3

Medicare UPINQ18531IA
Medicaid0442392IA
Medicare ID-Type UnspecifiedI12264IA

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 16D2004428

Genesis Medical Center Wound & Hyperbaric Institute · Davenport, IA
Active · expires Mar 3, 2028
CLIA Number16D2004428
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorJoanne Miller
Laboratory Phone(563) 421-1585
Laboratory LocationGenesis Medical Center Wound & Hyperbaric Institute1351 West Central Park Ave Pavilion 2, Ste 1225, Davenport, IA 52804
CLIA data matches this NPI record on: 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.

DR. MICHELLE YVONNE YATES MD
Emergency Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7681
GENESIS HEALTH SYSTEM
Pediatrics (Neonatal-Perinatal Medicine)
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-6000
ERIC DAVID MOHR
Emergency Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7681
KATHLEEN M VERSLUIS
Nurse Practitioner (Family)
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-2120
DR. REBECCA ANDRESEN WIESE MD
Family Medicine
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-3121
JAMES STEVAN DIGMAN RPH
Pharmacist
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-6367
MRS. ANDREA R ARCHER N.P.
Nurse Practitioner (Acute Care)
1227 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7198
THOMAS C QUESNELL M.S.
Audiologist
1227 E RUSHOLME ST, DEPT OF SPEECH AND HEARING
DAVENPORT, IA 52803
Scott County (563) 421-1400

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 Medical Center's NPI number?

The NPI number for Genesis Medical Center is 1679628838. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Genesis Medical Center located?

Genesis Medical Center is located at 1227 E Rusholme St, Davenport, IA 52803. The listed phone number is (536) 421-1000.

What is Genesis Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Genesis Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2004428) is associated with this NPI, valid through March 3, 2028. 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 Medical Center was last updated on March 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.