# GIBSON COMMUNITY HOSPITAL ASSOCIATION

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

## Provider details

- **NPI number:** 1992700595
- **Legal business name:** GIBSON COMMUNITY HOSPITAL ASSOCIATION
- **Authorized official:** MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (217) 784-2601

## Contact information

- **Practice address:** 227 N MARKET ST, PAXTON, IL 60957-1123
- **Practice address phone:** (217) 379-4864
- **Practice address fax:** (217) 379-6494
- **Mailing address:** 227 N MARKET ST, PAXTON, IL 60957-1123
- **Mailing address phone:** (217) 379-4864
- **Mailing address fax:** (217) 379-6494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 006 | IL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 07/21/2022