Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Gibson Area Hospital Dental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MICHAEL R MEUNIER (CHIEF COMPLIANCE OFFICER)
(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
122300000X
Dentist
Primary
0000836
IL
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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