Organization
GIBSON HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A GIBSON RN, BSN, MPH (PRESIDENT & CEO)
(618) 274-6026
Entity
Organization
Contact information
Practice address
1468 STATE ST, SUITE 100, EAST SAINT LOUIS, IL 62205-2010
(618) 274-6026
(618) 274-4314
Mailing address
1468 STATE ST, P. O. BOX 368, EAST SAINT LOUIS, IL 62205-2010
(618) 274-6026
(618) 274-4314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1003698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9857
BCBS PROVIDER NUMBER
IL
Enumeration date
02/16/2007
Last updated
03/04/2010
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