Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Prairie Family Medicine and Obstetrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
(217) 784-2601
Entity
Organization
Contact information
Practice address
122 E WABASH AVE, FORREST, IL 61741-9369
(815) 657-8707
(815) 657-8717
Mailing address
122 E WABASH AVE, FORREST, IL 61741-9369
(815) 657-8707
(815) 657-8717
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2006
Last updated
02/04/2022
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