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Organization

GIBSON COMMUNITY HOSPITAL ASSOCIATION

Active
Other names
Family Healthcare of Fisher
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYAN COFFEY (CHIEF FINANCIAL OFFICER)
(217) 784-2601
Entity
Organization

Contact information

Practice address
104 S 3RD ST, FISHER, IL 61843-9549
(217) 897-1692
(217) 897-6027
Mailing address
104 S 3RD ST, FISHER, IL 61843-9549
(217) 897-1692
(217) 897-6027

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
06/01/2016
Last updated
06/01/2016
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