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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1154702181


NPI Information

NPI: 1154702181
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: GIBSON AREA MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D0891029

Address:
8 DOCTORS PARK
GIBSON CITY, IL
ZIP 60936
Phone: (217) 784-4086
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GIBSON COMMUNITY HOSPITAL ASSOCIATION is a rural health clinic center in Gibson City, IL. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1154702181. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibson Area Medical Clinic.

The provider's business location address is:

8 DOCTORS PARK
GIBSON CITY, IL
ZIP 60936-000
Phone: (217) 784-4086
Fax: (217) 784-4437

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

The CLIA number assigned to this NPI record is 14D0891029 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2015 and was last updated on 9/3/2019.


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
1261QR1300XClinic/CenterRural HealthYes

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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