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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1114507753


NPI Information

NPI: 1114507753
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: GIBSON AREA HOSPITAL PULMONOLOGY CLINIC

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1120 N MELVIN ST
GIBSON CITY, IL
ZIP 60936
Phone: (217) 784-2212
Get Directions

GIBSON COMMUNITY HOSPITAL ASSOCIATION is a pulmonary disease internal medicine in Gibson City, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1114507753. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gibson Area Hospital Pulmonology Clinic.

The provider's business location address is:

1120 N MELVIN ST
GIBSON CITY, IL
ZIP 60936-477
Phone: (217) 784-2212
Fax: (217) 784-2572

The provider's authorized official is Matthew Ertel .
The authorized official title is Cfo and has the following contact phone number (217) 784-2601.

The enumeration date for this NPI number is 4/8/2021 and was last updated on 7/7/2022.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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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