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Organization
GIBSON GENERAL HOSPITAL
Active
Organization
GIBSON GENERAL HOSPITAL
Active
Other names
Gibson General Hospital - SNF
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS MORGEN CNO (CNO)
(812) 385-9237
Entity
Organization
Contact information
Practice address
1808 SHERMAN DR, PRINCETON, IN 47670
(812) 385-9222
(812) 385-9323
Mailing address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-9288
(812) 385-9423
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
05-000036-1
IN
314000000X
Skilled Nursing Facility
17-00036-1
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100269640
—
IN
01
—
IN 000036
FACILITY ID FOR MDS TRANS
IN
Enumeration date
10/31/2005
Last updated
04/14/2020
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