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Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Gibson Area Hospital Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ERTEL (CFO)
(217) 784-2601
Entity
Organization
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(217) 784-4251
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
10/27/2025
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