Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Gibson Area Hospital Urogynecology 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) 784-2212
(217) 784-2572
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
(217) 784-2645
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
07/07/2022
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