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General NPI Number Information
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NPI Number | 1437103454
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Entity Type | Organization
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Legal Business Name | GENESIS HEALTH SYSTEM
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 801 ILLINI DR
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City | SILVIS
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State | IL
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Zip | 61282-1804
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Country | US
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Telephone | 309-792-9363
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Fax | 563-421-3419
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Provider Business Mailing Address
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Address Line | 801 ILLINI DR
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City | SILVIS
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State | IL
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Zip | 61282-1804
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Country | US
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Telephone | 309-792-9363
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Fax | 563-421-3419
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES E BRUHN
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Credential |
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Telephone | 309-792-4265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | IL
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