Organization · Type 2 NPI

Gibson Community Hospital Association

Rural Health Clinic/Center · Mahomet, IL

NPI number 1689198863 Active

Practice location

1504 Patton Dr Ste 2
Mahomet, IL 61853-8126

Fax (217) 590-0272

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...

NPI record

NPI: 1689198863
Entity type: Organization (Type 2)
Issued: Jul 31, 2017
Last updated: Feb 4, 2022
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

<unavail>
Gibson Health of Mahomet · 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 1689198863

Gibson Community Hospital Association's National Provider Identifier is 1689198863, issued on Jul 31, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Mahomet, IL. The record was last updated on Feb 4, 2022.