# GIBSON COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Gibson Area Hospital Rheumatology Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174262968
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MATTHEW ERTEL (CFO)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 4 DOCTORS PARK, GIBSON CITY, IL 60936-2000
- **Practice address phone:** (217) 784-2806
- **Practice address fax:** (217) 680-0006
- **Mailing address:** 1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
- **Mailing address phone:** (217) 784-4251
- **Mailing address fax:** (217) 784-2645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | — | NULL | Yes |
| 207RR0500X | Rheumatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 07/07/2022