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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1114304045


NPI Information

NPI: 1114304045
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: GIBSON AREA FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
201 E 8TH ST
GIBSON CITY, IL
ZIP 60936
Phone: (217) 784-4076
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GIBSON COMMUNITY HOSPITAL ASSOCIATION is a family medicine in Gibson City, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1114304045. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gibson Area Family Medicine.

The provider's business location address is:

201 E 8TH ST
GIBSON CITY, IL
ZIP 60936-422
Phone: (217) 784-4076
Fax: (217) 784-2044

The provider's authorized official is Mike Meunier .
The authorized official title is Chief Compliance Officer and has the following contact phone number (217) 784-2286.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 10/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0000836ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1825130MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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