# GIBSON GENERAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deaconess Gibson Main Street
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477953321
- **Authorized official:** LOIS MORGAN (VP, CNO)
- **Authorized official phone:** (812) 385-9237

## Contact information

- **Practice address:** 510 N MAIN ST, PRINCETON, IN 47670
- **Practice address phone:** (812) 386-7001
- **Practice address fax:** (812) 386-3952
- **Mailing address:** PO BOX 1197, EVANSVILLE, IN 47706-1197
- **Mailing address phone:** (812) 386-7001
- **Mailing address fax:** (812) 386-3952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/28/2014
- **Last updated:** 11/11/2020