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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1790913903


NPI Information

NPI: 1790913903
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: D/B/A FAMILY HEALTH CLINIC OF FARMER CITY

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

Specialization: Rural Health

Address:
1230 GEORGE ROCK DR
FARMER CITY, IL
ZIP 61842
Phone: (309) 928-9192
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GIBSON COMMUNITY HOSPITAL ASSOCIATION is a rural health clinic center in Farmer City, IL. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1790913903. The provider is registered as an organization entity type.
The provider Is Doing Business As D/b/a Family Health Clinic Of Farmer City.

The provider's business location address is:

1230 GEORGE ROCK DR
FARMER CITY, IL
ZIP 61842-488
Phone: (309) 928-9192
Fax: (309) 928-5316

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 enumeration date for this NPI number is 6/25/2009 and was last updated on 2/4/2022.


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
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR1300XClinic/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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