GENESIS HEALTH SYSTEM (NPI# 1427132604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427132604 |
Entity Type | Organization |
Organization Name | GENESIS HEALTH SYSTEM |
Other Organization Name | GENESIS MEDICAL CENTER - SILVIS |
Practice Address |
801 Illini Dr Silvis IL 61282-1804 |
Practice Telephone | 3092814000 |
Practice Fax Number | 3092814399 |
Mailing Telephone | 3092814000 |
Mailing Fax Number | 3092814399 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-02-10 |
Authorized Official Name | MR. MARK ROGERS (INTERIM CFO) |
Authorized Official Telephone | 5634216513 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | Transportation Services | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | TRICARE | 363495480 | 01 |
IA | BLUE CROSS OF IA | 40275 | 01 |
IL | ACS DEPT OF LABOR | 367389500 | 01 |
IL | 20241 | 05 | |
IL | HEALTH ALLIANCE | 005428 | 01 |
IA | 0973867 | 05 | |
IL | HEALTHLINK | 106025 | 01 |
IL | MIDLANDS | H210 | 01 |
IA | 0715789 | 05 | |
IL | BLUE CROSS IL | 50476 | 01 |
IL | JOHN DEERE HC | A61282A5 | 01 |
Other Name | Type Code |
---|---|
Genesis Medical Center - Silvis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255692836 | Genesis Health System | Clinic/Center | 1025 30th St, Rock Island, IL 61201-2804 | 2012-05-31 |
1902107261 | Genesis Health System | Clinic/Center | 2451 Coral Ct, Suite 1, Coralville, IA 52241-2837 | 2010-11-03 |
1902060544 | Genesis Health System | Surgery | 855 Illini Dr Ste 401, Silvis, IL 61282-2904 | 2008-07-14 |
1225132640 | Genesis Health System | Family Medicine | 1410 7th St, Moline, IL 61265-2916 | 2006-09-08 |
1528177672 | Genesis Health System | Family Medicine | 3827 W Locust St, Davenport, IA 52804-3011 | 2006-08-30 |
1770699043 | Genesis Health System | Family Medicine | 205 11th St, Port Byron, IL 61275-9037 | 2006-08-21 |
1386750537 | Genesis Health System | Family Medicine | 532 N Cody Rd, Leclaire, IA 52753-9645 | 2006-08-21 |
1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
1679525562 | Genesis Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1236 E Rusholme St Ste 150, Davenport, IA 52803-2433 | 2006-05-17 |
1538110218 | Genesis Health System | Clinic/Center | 2350 41st St, Moline, IL 61265-5014 | 2006-05-15 |
Street Address |
801 ILLINI DR |
City | SILVIS |
State | IL |
Zip Code | 61282-1804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245224310 | Leighton V Arcenas | Internal Medicine | 801 Illini Dr, Silvis, IL 61282-1804 | 2005-09-06 |
1215550066 | Ndieme Ndoye | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-05-27 |
1558996942 | Marceline Kougbani-sebou | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2020-03-06 |
1417417650 | Nichole R Schold | Nurse Practitioner | 801 Illini Dr, Silvis, IL 61282-1804 | 2019-03-22 |
1023529252 | Payal Shah | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-10-16 |
1295254175 | Ian Hart | Physician Assistant | 801 Illini Dr, Silvis, IL 61282-1804 | 2017-09-12 |
1376922930 | Muhammad Kumail Shah | Family Medicine | 801 Illini Dr, Silvis, IL 61282 | 2015-05-28 |
1104268622 | Pathsource Diagnostics, LLC | Pathology | 801 Illini Dr, Silvis, IL 61282-1804 | 2013-07-25 |
1144596743 | Samir M Mahfouz | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2012-03-28 |
1164721429 | Heng Wu | Anesthesiology | 801 Illini Dr, Silvis, IL 61282-1804 | 2011-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174172605 | Phyllis Cunningham | Technician | 603 2nd Ave C, Silvis, IL 61282 | 2019-09-07 |
1710369400 | Krystle Lee Hergert | Dietitian, Registered | 2001 5th Street, Silvis, IL 61282 | 2015-06-18 |
1558549469 | Bobb Chiropractic Center P.C. | Chiropractor | 813 1st Avenue, Silvis, IL 61282 | 2008-02-01 |
1952509846 | Jennifer Marie Jensen | Pharmacist | 1601 18th St, Silvis, IL 61282 | 2007-07-03 |
1871516781 | Joseph R Yates | Emergency Medicine | 801 Illini Drive, Silvis, IL 61282 | 2006-07-25 |
1376581447 | Holly S Wilkinson | Physical Therapist | 902 Illini Drive, Silvis, IL 61282 | 2006-06-02 |
1831145507 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1312 John Deere Expy, Silvis, IL 61282 | 2006-05-25 |
1194326017 | Paul Garner | Pharmacist | 2001 5th St, Silvis, IL 61282 | 2020-11-06 |
1366043291 | Karen Marie Garner | Pharmacist | 2001 5th Street, Silvis, IL 61282 | 2020-11-06 |
1659865848 | Njl Chiropractic | Clinic/Center | 813 1st Ave, Silvis, IL 61282 | 2018-06-20 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437103454 | Genesis Health System | General Acute Care Hospital | 801 Illini Dr, Silvis, IL 61282-1804 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.