# GIBSON COMMUNITY HOSPITAL ASSOCIATION

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

## Provider details

- **NPI number:** 1972984995
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MR. MIKE MEUNIER CCO (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (217) 784-2286

## Contact information

- **Practice address:** 8 DOCTORS PARK, GIBSON CITY, IL 60936-2000
- **Practice address phone:** (217) 784-8580
- **Practice address fax:** (217) 784-8586
- **Mailing address:** 8 DOCTORS PARK, GIBSON CITY, IL 60936-2000
- **Mailing address phone:** (217) 784-8580
- **Mailing address fax:** (217) 784-8586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0000836 | IL | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015