Organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Active
Parent organization
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other names
Swing Bed Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Authorized official
ROB SCHMITT (CEO)
(217) 784-2611
Entity
Organization
Contact information
Practice address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003738
HEALTH ALLIANCE MEDICAL P
IL
01
—
0219
BLUE CROSS BLUE SHIELD
IL
01
—
87306
PERSONALCARE INS OF IL
IL
Enumeration date
08/04/2006
Last updated
12/15/2010
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