| Organization Name: | GIBSON AREA HOSPITAL |
| NPI Number: | 1285982249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN LEIGH BREEDEN (PHYSICAL THERAPIST) |
| Mailing Address: | 10 Doctors Park Gibson City |
| State: | IL US |
| Postal Code: | 609362009 |
| Phone Number: | 2177842650 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2012 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | 070.017543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |