# GIBSON COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Other names:** Gibson City Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841390747
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 222 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
- **Practice address phone:** (217) 784-8148
- **Practice address fax:** (217) 784-8160
- **Mailing address:** 222 N SANGAMON AVE, GIBSON CITY, IL 60936-1345
- **Mailing address phone:** (217) 784-8148
- **Mailing address fax:** (217) 784-8160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 09/03/2019