Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Gibson Area Hospital and Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ERTEL (CFO)
(217) 784-2600
Entity
Organization
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0000836
IL
313M00000X
Nursing Facility/Intermediate Care Facility
0005868
IL
314000000X
Skilled Nursing Facility
0000836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003738
HEALTH ALLIANCE MEDICAL P
IL
01
—
0219
BLUE CROSS BLUE SHIELD
IL
01
—
2715531
BLUE SHIELD
IL
01
—
87306
PERSONALCARE INS OF IL
IL
Enumeration date
08/03/2006
Last updated
07/30/2024
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