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Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
THE PAXTON CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCHMITT (CEO)
(217) 784-4251
Entity
Organization
Contact information
Practice address
227 N MARKET ST, PAXTON, IL 60957-1123
(217) 379-4864
(217) 379-2604
Mailing address
227 N MARKET ST, PAXTON, IL 60957-1123
(217) 379-4864
(217) 379-2604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210191
MEDICARE GROUP
IL
Enumeration date
07/23/2007
Last updated
08/28/2007
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