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Organization

GIBSON COMMUNITY HOSPITAL ASSOCIATION

Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Family Health Care of Cissna Park
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 B, CISSNA PARK, IL 60924-9710
(815) 457-2000
(815) 457-2015
Mailing address
510 PRAIRIE LN UNIT B, CISSNA PARK, IL 60924-9710
(815) 457-2000
(815) 457-2015

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
11/30/2016
Last updated
02/04/2022
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