Organization Name: | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
NPI Number: | 1972926236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT C SCHMITT (CEO) |
Mailing Address: | 1504 Patton Dr Unit #3 Mahomet |
State: | IL US |
Postal Code: | 618538126 |
Phone Number: | 2175862633 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2014 |
NPI Last Update Date: | 01/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 0000836 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |