Organization
GHSC - GIBSON HEALTH SERVICES CONTRACTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A GIBSON RN, BSN,MPH (PRESIDENT & CEO)
(618) 274-6026
Entity
Organization
Contact information
Practice address
1468 STATE ST, SUITE 200, EAST SAINT LOUIS, IL 62205-2010
(618) 274-6026
(618) 274-4314
Mailing address
1468 STATE ST, P. O. BOX 6017, EAST SAINT LOUIS, IL 62205-2010
(618) 274-9667
(618) 274-4314
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1009869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0122
NURSE AGENCY LICENSE NUMB
IL
05
—
1009869
—
IL
Enumeration date
02/16/2007
Last updated
08/22/2020
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