# GIBSON GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gibson General Hospital - SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568453462
- **Authorized official:** LOIS MORGEN CNO (CNO)
- **Authorized official phone:** (812) 385-9237

## Contact information

- **Practice address:** 1808 SHERMAN DR, PRINCETON, IN 47670
- **Practice address phone:** (812) 385-9222
- **Practice address fax:** (812) 385-9323
- **Mailing address:** 1808 SHERMAN DR, PRINCETON, IN 47670-1043
- **Mailing address phone:** (812) 385-9288
- **Mailing address fax:** (812) 385-9423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 05-000036-1 | IN | Yes |
| 314000000X | Skilled Nursing Facility | 17-00036-1 | NULL | — |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 04/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100269640 | — | IN |
| 01 | — | IN 000036 | FACILITY ID FOR MDS TRANS | IN |