Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Gibson Recovery Optimizing Wellness
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
10 DOCTORS PARK, GIBSON CITY, IL 60936-2004
(217) 784-4251
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
08/02/2022
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