| Organization Name: | GENESIS HEALTH SYSTEM |
| NPI Number: | 1407938269 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK ROGERS (INTERIM COF) |
| Mailing Address: | 1118 11th St De Witt |
| State: | IA US |
| Postal Code: | 527421235 |
| Phone Number: | 5636594200 |
| Fax Number: | 5634213419 |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 05/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 275N00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Medicare Defined Swing Bed Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |