GIBSON CITY CLINIC SC is a clinic center in Gibson City, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GIBSON CITY CLINIC SC NPI is 1386903946. The provider is registered as an organization entity type.
The provider's business location address is:
222 N SANGAMON AVE
GIBSON CITY, IL
ZIP 60936-345
Phone: (217) 784-8148
Fax: (217) 784-8160
The provider's authorized official is David Hagan .
The authorized official title is President and has the following contact phone number (217) 784-8148.
The CLIA number assigned to this NPI record is 14D0429411 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/16/2012 and was last updated on 5/16/2012.