Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
GAH Neurology, Gibson Area Hospital Neurology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
MATTHEW ERTEL (CFO)
(217) 784-2601
Entity
Organization
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-2806
(217) 680-0006
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-2340
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
07/07/2022
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