# GIBSON COMMUNITY HOSPITAL ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Family Health Care of Watseka
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043720691
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 806 E WALNUT ST STE A, WATSEKA, IL 60970-1584
- **Practice address phone:** (815) 432-1078
- **Practice address fax:** (815) 432-1079
- **Mailing address:** 806 E WALNUT ST STE A, WATSEKA, IL 60970-1584
- **Mailing address phone:** (815) 432-1078
- **Mailing address fax:** (815) 432-1079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 09/10/2024