Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Cissna Park Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MATTHEW ERTEL (CHIEF FINANCIAL OFFICER)
(217) 784-2601
Entity
Organization
Contact information
Practice address
510 PRAIRIE LN UNIT C, CISSNA PARK, IL 60924-9704
(815) 457-2006
(815) 457-2016
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/02/2025
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