NPIMap

Organization Active NPI

American Healthcare Systems Illinois LLC

  • Clinic/Center
  • Edwardsville, IL
National Provider Identifier
1760182307
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Practice address
1261 University Dr
Edwardsville, IL 62025-5586
Phone
(818) 666-0602
NPI assigned
Mar 2, 2023
Organization subpart
Yes
Parent organization
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Jonathan Burket
Title
Corporate Compliance
Phone
(818) 666-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1261 University Dr
Edwardsville, IL 62025-5586

Mailing address

1261 University Dr
Edwardsville, IL 62025-5586

Other names 1

  • Edwardsville Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515000527 IL Part A Provider - Hospital 2769857481 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Carbon, IL; Granite City, IL

Hospital certification: CCN 140125

Legal name
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Doing business as
GATEWAY REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 6, 2025
Beds
406
Ownership / control type
Other
Most recent change of ownership
Mar 1, 2023 (1 total)
Organization structure
LLCProprietary
Enrollment address
2100 Madison Ave
Granite City, IL 62040-4713
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Gateway Regional Medical CenterCCN 140125
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
American Healthcare Systems Illinois LLC

Locations

2100 Madison Ave
Ste 403
Granite City, IL 62040

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
American Healthcare Systems Corp Inc Organization, Glendale, CA Corporation, For-profit 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Elizabeth Rosenthal Individual Corporate OfficerCompliance Aug 1, 2022
Jonathan E Burket Individual Corporate OfficerCco Mar 1, 2023
W-2 Managing Employee Mar 1, 2023
Operational/Managerial Control Mar 1, 2023
Mike M Sarian Individual 5% Or Greater Indirect Ownership Interest Mar 1, 2023 51%

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 99

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

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1760182307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 UNIVERSITY DR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620255586",
            "telephone_number": "818-666-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "BURKET",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "818-666-0602"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwardsville Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.