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MERCYONE GENESIS FIRSTMED INFUSION PHARM
DSH160033 GENESIS MEDICAL CENTER - DAVENPORT
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Covered Entity Details
Entity Name
GENESIS MEDICAL CENTER - DAVENPORT
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH160033
Entity Address
1227 EAST RUSHOLME
DAVENPORT, IA 52803
Medicare Provider Number
160033
Participating Start Date
1/1/2019
Last Recertification Date
8/21/2024
Pharmacy Details
Pharmacy Name
MERCYONE GENESIS FIRSTMED INFUSION PHARM
Pharmacy Address
GENVENTURES INC
1803 E KIMBERLY RD
STE A
DAVENPORT, IA 52807
Pharmacy Comments
Contract Details
Approval Date
4/14/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Jordan Voigt, GMC Davenport President
(563) 421-2792
Contract Pharmacy Representative
FirstMed Pharmacy
Jason Hansel, FirstMed Pharmacy Manager
(563) 421-2593
Signed By Date
4/14/2023
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