Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
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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