Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
THE PAXTON CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCHMITT (CEO)
(217) 784-4251
Entity
Organization
Contact information
Practice address
227 N MARKET ST, PAXTON, IL 60957-1123
(217) 379-4864
(217) 379-2604
Mailing address
227 N MARKET ST, PAXTON, IL 60957-1123
(217) 379-4864
(217) 379-2604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210191
MEDICARE GROUP
IL
Enumeration date
07/23/2007
Last updated
08/28/2007
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