Healthcare Provider Details

I. General information

NPI: 1437103454
Provider Name (Legal Business Name): GENESIS HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ILLINI DR
SILVIS IL
61282-1804
US

IV. Provider business mailing address

801 ILLINI DR
SILVIS IL
61282-1804
US

V. Phone/Fax

Practice location:
  • Phone: 309-792-9363
  • Fax: 563-421-3419
Mailing address:
  • Phone: 309-792-9363
  • Fax: 563-421-3419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. CHARLES E BRUHN
Title or Position: CEO
Credential:
Phone: 309-792-4265