Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Medical Center - Illini Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E BRUHN (CEO)
(309) 792-4265
Entity
Organization
Contact information
Practice address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 792-9363
(563) 421-3419
Mailing address
801 ILLINI DR, SILVIS, IL 61282-1804
(309) 792-9363
(563) 421-3419
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
IL
341600000X
Ambulance
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005428
HEALTH ALLIANCE
—
01
—
0373
BLUE CROSS IL
IL
05
—
0715789
—
IA
01
—
0811526977
BLUE CORSS IL 1500
IL
05
—
0927640
—
IA
05
—
0973867
—
IA
01
—
40275
BLUE CROSS IA UB
IA
01
—
96922
BLUE CROSS 1500 ED
IA
01
—
97195
BLUE CROSS IA 1500 EKG
IA
01
—
A6128203
JDHC UB
—
01
—
CK0986
RR MEDICARE
IL
Enumeration date
05/22/2006
Last updated
09/11/2025
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