| Gibson Health Of Watseka | |
|
806 E Walnut St Ste A Watseka IL 60970-1584 | |
| (815) 432-1078 | |
| (815) 432-1079 |
| Full Name | Gibson Health Of Watseka |
|---|---|
| Speciality | Clinic/Center |
| Location | 806 E Walnut St Ste A, Watseka, 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 Health Of Watseka 806 E Walnut St Ste A Watseka IL 60970-1584 Ph: (815) 432-1078 | Gibson Health Of Watseka 806 E Walnut St Ste A Watseka IL 60970-1584 Ph: (815) 432-1078 |
| NPI Number | 1043720691 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 02/01/2022 |
| Medicare PECOS PAC ID | 5092703124 |
|---|---|
| Medicare Enrollment ID | O20190808001817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043720691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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