# GIBSON COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gibson Specialty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245105535
- **Authorized official:** MATTHEW ERTEL (CFO)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 521 E FIRST ST, SUITE B, GIBSON CITY, IL 60936-1848
- **Practice address phone:** (217) 771-1437
- **Mailing address:** 1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
- **Mailing address phone:** (217) 771-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2025
- **Last updated:** 10/07/2025