Organization
GIBSON GENERAL HOSPITAL, INC
Active
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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