| Gibson Community Hospital Association | |
|
3 Doctors Park Gibson City IL 60936-2000 | |
| (217) 784-4030 | |
| Not Available |
| Full Name | Gibson Community Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Doctors Park, Gibson 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 1120 N Melvin St Gibson City IL 60936-1477 Ph: (217) 784-4251 | Gibson Community Hospital Association 3 Doctors Park Gibson City IL 60936-2000 Ph: (217) 784-4030 |
| NPI Number | 1740641745 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 07/30/2024 |
| Medicare PECOS PAC ID | 5092703124 |
|---|---|
| Medicare Enrollment ID | O20110525000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740641745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gibson Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 8th St, Gibson City, IL 60936 Phone: 217-784-4076 Fax: 217-784-2044 | |
Gibson Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-4086 Fax: 217-784-4437 | |
Gibson Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E 8th St, Gibson City, IL 60936 Phone: 217-727-1088 Fax: 217-727-1057 | |
Neil R Nelson Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Doctors Park, Gibson City, IL 60936 Phone: 217-784-8580 Fax: 217-784-8586 | |
Gibson City Clinic Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 N Sangamon Ave, Gibson City, IL 60936 Phone: 217-784-8148 Fax: 217-784-8160 | |
Gibson Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Doctors Park Ste A, Gibson City, IL 60936 Phone: 217-784-4030 Fax: 217-784-4405 | |
Gibson Community Hospital Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Doctors Park, Gibson City, IL 60936 Phone: 217-784-5500 Fax: 217-784-4106 |