Organization
GENESIS HEALTH SYSTEM
Active
Other names
GENESIS MEDICAL CENTER ILLINI CAMPUS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK J KLEINSCHMIDT (VICE PRESIDENT OF FINANCE)
(563) 521-6513
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
Primary
—
IL
341600000X
Ambulance
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0715789
—
IA
05
—
0973867
—
IA
Enumeration date
12/10/2007
Last updated
07/21/2022
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