Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Gibson Area Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MR. MIKE MEUNIER MBA, CHC (CHIEF COMPLIANCE OFFICER)
(217) 784-2286
Entity
Organization
Contact information
Practice address
201 E 8TH ST, GIBSON CITY, IL 60936-1422
(217) 784-4076
(217) 784-2044
Mailing address
201 E 8TH ST, GIBSON CITY, IL 60936-1422
(217) 784-4076
(217) 784-2044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0000836
IL
Other
Enumeration date
04/29/2015
Last updated
10/08/2015
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