Organization Name: | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
NPI Number: | 1881676005 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROB SCHMITT (CEO) |
Mailing Address: | 837 E Orange St Hoopeston |
State: | IL US |
Postal Code: | 609421802 |
Phone Number: | 2172835530 |
Fax Number: | 2172836437 |
NPI Enumeration Date: | 11/15/2005 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 042618412 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |