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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1043720691


NPI Information

NPI: 1043720691
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: GIBSON HEALTH OF WATSEKA

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 14D2139070

Address:
806 E WALNUT ST STE A
WATSEKA, IL
ZIP 60970
Phone: (815) 432-1078
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GIBSON COMMUNITY HOSPITAL ASSOCIATION is a rural health clinic center in Watseka, IL. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1043720691. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibson Health Of Watseka.

The provider's business location address is:

806 E WALNUT ST STE A
WATSEKA, IL
ZIP 60970-584
Phone: (815) 432-1078
Fax: (815) 432-1079

The provider's authorized official is Matthew Ertel .
The authorized official title is Chief Financial Officer and has the following contact phone number (217) 784-2601.

The CLIA number assigned to this NPI record is 14D2139070 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2017 and was last updated on 2/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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