NPIMap

Organization Active NPI

Genesis Health System

Doing business as Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
National Provider Identifier
1427132604
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GENESIS HEALTH SYSTEM
Doing business as
Genesis Medical Center - Silvis
Practice address
801 Illini Dr
Silvis, IL 61282-1804
Phone
(309) 281-4000
Fax
(309) 281-4399
NPI assigned
Oct 25, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arun Arora
Title
VP of Finance
Phone
(563) 421-6508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Ambulance 341600000X

Addresses

Primary practice location

801 Illini Dr
Silvis, IL 61282-1804

Mailing address

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Other identifiers 11

IdentifierTypeStateIssuer
20241MedicaidIL
363495480OtherILTRICARE
50476OtherILBLUE CROSS IL
A61282A5OtherILJOHN DEERE HC
0715789MedicaidIA
40275OtherIABLUE CROSS OF IA
005428OtherILHEALTH ALLIANCE
367389500OtherILACS DEPT OF LABOR
106025OtherILHEALTHLINK
H210OtherILMIDLANDS
0973867MedicaidIA

Other names 1

  • Genesis Medical Center - Silvis Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060808000576 IL Part A Provider - Hospital 6103829338 Practice locations: Moline, IL; Silvis, IL
O20060824000219 IL Part B Supplier - Clinic/Group Practice 6103829338 Receives reassigned benefits from 215 practitioners
1 other NPI on this enrollment
Practice locations: Moline, IL; Silvis, IL
O20221208002276 IL Part B Supplier - Intensive Cardiac Rehabilitation 6103829338 Practice locations: Silvis, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427132604. Details of each certification follow.

Hospital certification: CCN 140275

Legal name
GENESIS HEALTH SYSTEM
Doing business as
MERCYONE GENESIS SILVIS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 15, 1968
Last certification
Feb 16, 2007
Beds
149
Ownership / control type
Local
Organization structure
CorporationNon-profit
Enrollment address
801 Illini Dr
Silvis, IL 61282-1804
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Genesis HLTH System Dba Genesis MDL Ctr-IlliniCCN 140275 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

2140 53rd Ave
#C
Bettendorf, IA 52722
Phone (563) 421-4370

2535 Maplecrest Rd
Ste 18
Bettendorf, IA 52722
Phone (563) 421-5250

1230 E Rusholme St
Davenport, IA 52803
Phone (563) 214-3370

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

3650 Avenue of the Cities
Moline, IL 61265
Phone (309) 281-2500

1455 Hospital Rd
Silvis, IL 61282
Phone (309) 281-3270

801 Illini Dr
Ste 202
Silvis, IL 61282

855 Illini Dr
Ste 201
Silvis, IL 61282
Phone (309) 281-3660

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lyn Ketelsen Individual Corporate DirectorBoard Member Jan 4, 2024
Jordan Voigt Individual Corporate OfficerPresident Jan 4, 2024
Corporate DirectorBoard Member Jan 4, 2024
Charles D Waterman Individual Corporate OfficerChair Apr 30, 2006
Corporate DirectorBoard Member Apr 30, 2006
Robert P Ritz Individual Corporate DirectorBoard Member Mar 1, 2023
Melissa C Pepper Individual Corporate OfficerSecretary Nov 1, 2019
Corporate DirectorBoard Member Nov 1, 2019
Peter Benson Individual Corporate OfficerVice Chair Sep 3, 2009
Corporate DirectorBoard Member Sep 3, 2009
Robin R Petersen Individual Corporate DirectorBoard Member Jul 29, 2004
Christopher M Crome Individual Corporate OfficerChief Operating Officer Nov 1, 2021
Lashonda Polite Individual Corporate DirectorBoard Member Nov 6, 2020
Edmund P Coyne Individual Corporate DirectorBoard Member Dec 4, 2008
Karen M Fitzsimmons Individual Corporate DirectorBoard Member Nov 6, 2020
Mercy Health Network Inc Organization, Clive, IA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Mark C. Kilmer Individual Corporate DirectorBoard Member Sep 30, 2003
Dale D Zude Individual Corporate OfficerTreasurer Jan 1, 2025
Corporate DirectorBoard Member Sep 25, 2001
Edwin V Motto Individual Corporate DirectorBoard Member Jul 23, 1996
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Patricia S Groves Individual Corporate DirectorBoard Member Oct 9, 2015
David Larson Individual Corporate DirectorBoard Member Mar 6, 2014
Pamela Scott Individual W-2 Managing EmployeeRevenue Integrity Administrator Jan 1, 2006

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercyone GenesisAledo, IL, CCN 141304 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013
Mercyone GenesisAledo, IL, CCN 14Z304 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2023
Mercyone GenesisAledo, IL, CCN 143453 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 215

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 215

Practitioners & affiliated clinicians

Practitioners 461

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 461

Affiliated clinicians 538

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 538

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1427132604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-281-4000",
            "fax_number": "309-281-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-281-4000",
            "fax_number": "309-281-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "563-421-6508"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20241",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "363495480",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IL",
            "identifier": "50476",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HC",
            "identifier": "A61282A5",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715789",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IA",
            "identifier": "40275",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "005428",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS DEPT OF LABOR",
            "identifier": "367389500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "106025",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "H210",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973867",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Center - Silvis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.