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Organization

GIBSON GENERAL HOSPITAL, INC

Active
Other names
Gibson General Hospital Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBRA A SHOULTZ (BUSINESS OFFICE MANAGER)
(812) 385-9201
Entity
Organization

Contact information

Practice address
1808 SHERMAN DR, PRINCETON, IN 47670
(812) 385-9201
(812) 385-9307
Mailing address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-9201
(812) 385-9307

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207L00000X
Anesthesiology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RH0003X
Hematology & Oncology Physician
207RS0012X
Sleep Medicine (Internal Medicine) Physician
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100269650
IN
Enumeration date
05/23/2007
Last updated
10/04/2018
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