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GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI 1508214404


NPI Information

NPI: 1508214404
Provider Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: FAMILY HEALTHCARE OF FISHER

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
104 S 3RD ST
FISHER, IL
ZIP 61843
Phone: (217) 897-1692
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GIBSON COMMUNITY HOSPITAL ASSOCIATION is a general practice in Fisher, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GIBSON COMMUNITY HOSPITAL ASSOCIATION NPI is 1508214404. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Healthcare Of Fisher.

The provider's business location address is:

104 S 3RD ST
FISHER, IL
ZIP 61843-549
Phone: (217) 897-1692
Fax: (217) 897-6027

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

The enumeration date for this NPI number is 6/1/2016 and was last updated on 6/1/2016.


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
1208D00000XGeneral PracticeYes

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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