# GIBSON COMMUNITY HOSPITAL ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Gibson Area WIC Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609769827
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 711 E PELLS ST, PAXTON, IL 60957-1316
- **Practice address phone:** (217) 579-1087
- **Mailing address:** 1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
- **Mailing address phone:** (217) 784-4251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2025
- **Last updated:** 05/29/2025