Organization · Type 2 NPI

Gibson Community Hospital Association

Rural Health Clinic/Center · Onarga, IL

NPI number 1972509701 Active

Practice location

912 W Seminary Ave
Onarga, IL 60955-1401

Fax (815) 268-4845

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	None listed
Rural Health Clinic/Center	261QR1300X	007 (IL)
Rural Health Clinic/Center Primary	261QR1300X	None listed

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

3 other providers at this address

NPI record

NPI: 1972509701
Entity type: Organization (Type 2)
Issued: Jun 27, 2005
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

<unavail>
The Onarga Clinic · 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 1972509701

Gibson Community Hospital Association's National Provider Identifier is 1972509701, issued on Jun 27, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Onarga, IL. The record was last updated on Jul 21, 2022.