GIBSON COMMUNITY HOSPITAL ASSOCIATION is a rural health clinic center in Forrest, IL. GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1063462976. The provider is registered as an organization entity type.
The provider Is Doing Business As Prairie Family Medicine And Obstetrics.
The provider's business location address is:
122 E WABASH AVE
FORREST, IL
ZIP 61741-369
Phone: (815) 657-8707
Fax: (815) 657-8717
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 14D0941464 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/4/2022.