GENESIS MEDICAL CENTER DAVENPORT
NPI 1285673459
Psychiatric Unit in Davenport, IA

NPI Status: Active since June 05, 2006

Contact Information

1227 E RUSHOLME ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 421-3402
Fax: (563) 421-3419

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  • Organization
  • Psychiatric Unit
  • Accepts Insurance

About GENESIS MEDICAL CENTER DAVENPORT

This page provides the complete NPI Profile along with additional information for Genesis Medical Center Davenport, a provider established in Davenport, Iowa operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1285673459 assigned on June 2006. The practitioner's primary taxonomy code is 273R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Genesis Medical Center Davenport. The authorized official of this NPI record is Mr. Mark Rogers (Interim Cfo)

NPI
1285673459
Provider Legal Name
GENESIS HEALTH SYSTEM
Other Organization Name
GENESIS MEDICAL CENTER DAVENPORT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1227 E RUSHOLME ST DAVENPORT, IA 52803
Location Phone
(563) 421-3402
Location Fax
(563) 421-3419
Mailing Address
1227 E RUSHOLME ST DAVENPORT, IA 52803
Mailing Phone
(563) 421-3402
Mailing Fax
(563) 421-3419
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License State
IA
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellmark Bronze HDHP HMO HSA Qualified - HMO
  • Wellmark Bronze Traditional HMO - HMO
  • Wellmark Gold Traditional HMO - HMO
  • Wellmark Silver Traditional HMO - HMO
  • Wellmark Standard Bronze HMO - HMO
  • Wellmark Standard Gold HMO - HMO
  • Wellmark Standard Silver HMO - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK ROGERS

Authorized Official Title
INTERIM CFO
Authorized Official Phone
(563) 421-6513

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0600338MEDICAID (05)IA 
6S033OTHER (01)IABLUE CROSS PSYCH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285673459
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651276410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 6 + 4 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285673459 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619953957MR. MITCHELL CLARK RUFFCORN MD
Individual
Anesthesiology1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-1000
1174509442MR. JOHNNY EDWARD BRIAN JR. MD
Individual
Anesthesiology1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-1000
1063499358DR. MICHELLE YVONNE YATES MD
Individual
Emergency Medicine1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-7681
1083691943MR. RICHARD LOWELL CARRUTHERS DO
Individual
Anesthesiology1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-1000
1427017599 RICHARD LANKELMA VERMEER D.O.
Individual
Emergency Medicine1227 E RUSHOLME ST EMERGENCY DEPARTMENT
DAVENPORT, IA 52803
(563) 421-7702
1801855218DR. KELLY MEGHAN WREN M.D.
Individual
Emergency Medicine1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-1000
1811957590DR. MICHAEL AMBROSE CRONKLETON M.D.
Individual
Emergency Medicine (Emergency Medical Services)1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-1000
1669434320DR. ANGELITO C DELA CRUZ MD
Individual
Emergency Medicine1227 E RUSHOLME ST GENESIS MEDICAL CENTER
DAVENPORT, IA 52803
(563) 421-7681
1982654497COGENT HEALTHCARE OF IOWA, PC
Organization
Internal Medicine1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-4120
1912958729GENESIS HEALTH SYSTEM
Organization
Pediatrics (Neonatal-Perinatal Medicine)1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-6000
1477647469 ERIC DAVID MOHR
Individual
Emergency Medicine1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-7681
1154403129 KATHLEEN M VERSLUIS
Individual
Nurse Practitioner (Family)1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-2120
1679628838GENESIS MEDICAL CENTER
Organization
General Acute Care Hospital1227 E RUSHOLME ST
DAVENPORT, IA 52803
(536) 421-1000
1609921931DR. REBECCA ANDRESEN WIESE MD
Individual
Family Medicine1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-3121
1801938055 JAMES STEVAN DIGMAN RPH
Individual
Pharmacist1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-6367
1023145208MRS. ANDREA R ARCHER N.P.
Individual
Nurse Practitioner (Acute Care)1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-7198
1881718880MRS. AMBER ZOE GORHAM PA-C, MPAS
Individual
Physician Assistant1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-2120
1639397029 THOMAS C QUESNELL M.S.
Individual
Audiologist1227 E RUSHOLME ST DEPT OF SPEECH AND HEARING
DAVENPORT, IA 52803
(563) 421-1400
1760698674MRS. POLLY RAE GRAHAM MBA, RD, LD
Individual
Dietitian, Registered1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-6943
1144437625 ELAINE JUNE GUTHRIE RD,LD
Individual
Dietitian, Registered1227 E RUSHOLME ST
DAVENPORT, IA 52803
(563) 421-6952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285673459, enumerated in the NPI registry as an "organization" on June 05, 2006

The provider is located at 1227 E Rusholme St Davenport, Ia 52803 and the phone number is (563) 421-3402

This medical organization specializes in Psychiatric Unit with taxonomy code 273R00000X

The provider might be accepting Accepts: Wellmark Health Plan of Iowa, Inc., Medicare,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.