MEDICARE: GENVENTURES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)		IA
2	332B00000X	Durable Medical Equipment & Medical Supplies		IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52546	OTHER	IA	WELLMARK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376590877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENVENTURES, INC.

Provider Business Mailing Address
First Line	:	1803 E KIMBERLY RD
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52807-2027
Country	:	US
Telephone Number	:	563-421-3300
Fax Number	:	563-421-3304

Provider Business Practice Location Address
First Line	:	1803 E. KIMBERLY ROAD
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52807-0000
Country	:	US
Telephone Number	:	563-421-3300
Fax Number	:	563-421-3304

Authorized Official
Title or Position	:	CFO
Name	:	MR. MARK G. ROGERS
Credential	:
Telephone Number	:	563-421-6513

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	02/03/2026

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Directions to “GENVENTURES, INC. ” Practice Location

Language	Start Address	Practice Location

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