Organization · Type 2 NPI

Gibson Community Hospital Association

Rural Health Clinic/Center · Cissna Park, IL

NPI number 1356884993 Active

Practice location

510 Prairie Ln Unit B
Cissna Park, IL 60924-9710

Call (815) 457-2000 Map

Fax (815) 457-2015

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Cissna Park

Hoopeston Community Memorial HospitalRural Health Clinic/Center Cissna Park, IL NPI 1356382428

See all in Cissna Park →

NPI record

NPI: 1356884993
Entity type: Organization (Type 2)
Issued: Nov 30, 2016
Last updated: Feb 4, 2022
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

<unavail>
Family Health Care of Cissna Park · doing business as
Family Health Care of Cissna Park · doing business as

Authorized official

Matthew Ertel
Chief Financial Officer
(217) 784-2601

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356884993

Gibson Community Hospital Association's National Provider Identifier is 1356884993, issued on Nov 30, 2016. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Cissna Park, IL. The record was last updated on Feb 4, 2022.