Organization · Type 2 NPI

Genesis Health System

Rural Health Clinic/Center · De Witt, IA

NPI number 1124804182 Active

Practice location

1021 11th St
De Witt, IA 52742-1209

Call (563) 659-9294 Map

Fax (563) 659-8104

Mailing address

PO Box 4028
Rock Island, IL 61204-4028

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

Other rural health clinic/center providers in De Witt

Genesis Health SystemRural Health Clinic/Center De Witt, IA NPI 1205533056

See all in De Witt →

NPI record

NPI: 1124804182
Entity type: Organization (Type 2)
Issued: Sep 6, 2023
Last updated: Jul 9, 2026
Status: Active
Subpart: Yes of Genesis Health System

Other names

<unavail>
Genesis Health Group, Dewitt · doing business as
Genesis Health Group, Dewitt · doing business as

Authorized official

Edward Rogalski
Administrator
(563) 659-4220

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124804182

Genesis Health System's National Provider Identifier is 1124804182, issued on Sep 6, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in De Witt, IA. The record was last updated on Jul 9, 2026.