Organization
GIBSON AREA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEIGH BREEDEN (PHYSICAL THERAPIST)
(217) 784-2650
Entity
Organization
Contact information
Practice address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2009
(217) 784-2650
Mailing address
10 DOCTORS PARK, GIBSON CITY, IL 60936-2009
(217) 784-2650
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
070.017543
IL
Other
Enumeration date
08/23/2012
Last updated
08/23/2012
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