| Gibson Community Hospital Association | |
|
1230 George Rock Dr Farmer City IL 61842-9488 | |
| (309) 928-9192 | |
| (309) 928-5316 |
| Full Name | Gibson Community Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 1230 George Rock Dr, Farmer City, Illinois |
| Authorized Official Name and Position | Matthew Ertel (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2177842601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gibson Community Hospital Association 1230 George Rock Dr Farmer City IL 61842-9488 Ph: (309) 928-9192 | Gibson Community Hospital Association 1230 George Rock Dr Farmer City IL 61842-9488 Ph: (309) 928-9192 |
| NPI Number | 1790913903 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 02/04/2022 |
| Medicare PECOS PAC ID | 5092703124 |
|---|---|
| Medicare Enrollment ID | O20101111000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790913903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |