GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI# 1356779417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356779417 |
| Entity Type | Organization |
| Organization Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | FAMILY HEALTHCARE OF POTOMAC |
| Practice Address |
106 E. State St Potomac IL 61865 |
| Practice Telephone | 2179876300 |
| Practice Fax Number | 2179876333 |
| Mailing Telephone | 2179876300 |
| Mailing Fax Number | 2179876333 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | ROBERT C SCHMITT II (CEO) |
| Authorized Official Telephone | 2177842600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
0000836 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Family Healthcare of Potomac | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343374 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit C, Cissna Park, IL 60924-9704 | 2020-07-15 |
| 1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
| 1508214404 | Gibson Community Hospital Association | General Practice | 104 S 3rd St, Fisher, IL 61843-9549 | 2016-06-01 |
| 1548544679 | Gibson Community Hospital Association | Family Medicine | 221 Wal Crest Dr, Fairbury, IL 61739-8998 | 2011-10-07 |
| 1477570166 | Gibson Community Hospital Association | Pharmacy | 104 N. Sangamon Ave, Gibson City, IL 60936-1343 | 2006-07-17 |
| 1881676005 | Gibson Community Hospital Association | Clinic/Center | 705 S Dixie Hwy, Hoopeston, IL 60942-1904 | 2005-11-15 |
| 1972509701 | Gibson Community Hospital Association | Clinic/Center | 912 W Seminary Ave, Onarga, IL 60955-1401 | 2005-06-27 |
| 1992700595 | Gibson Community Hospital Association | Clinic/Center | 227 N Market St, Paxton, IL 60957-1123 | 2005-06-20 |
| 1306330477 | Gibson Community Hospital Association | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-06-21 |
| 1043720691 | Gibson Community Hospital Association | Family Medicine | 806 E Walnut St Ste A, Watseka, IL 60970-1584 | 2017-10-10 |
| Street Address |
106 E. STATE ST |
| City | POTOMAC |
| State | IL |
| Zip Code | 61865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396225199 | Kristen C Hammel | Counselor | 7757 Us-136, Potomac, IL 61865 | 2018-08-21 |
| 1992883953 | Bluegrass Fire Protection District | Ambulance | 125 N Logan St., Potomac, IL 61865-0260 | 2006-11-01 |
| 1861918492 | Michael Remole | Counselor | 7757 Us Route 136, Potomac, IL 61865-3047 | 2017-08-15 |
| 1962900795 | Gabrielle Dawn Rivette Remole | Social Worker | 7757 Us Route 136, Potomac, IL 61865-3047 | 2018-01-26 |
| 1487152344 | Gateway Family Services of Illinois | Counselor | 7757 Us Route 136, Potomac, IL 61865-3047 | 2018-01-25 |
| 1467561290 | Potomac School District 10 | Local Education Agency (LEA) | 7915 Us Route 136, Potomac, IL 61865-3158 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1255939328 | Margaux Blau | Counselor | 1383 Canterbury Way, Potomac, MD 20854-6103 | 2020-10-12 |
| 1891301958 | Sarah Ridgway Johnston | Dietitian, Registered | 8233 Lochinver Ln, Potomac, MD 20854-2745 | 2020-09-23 |
| 1881209690 | Serenity Gardens Assisted Living LLC | Assisted Living Facility | 10829 Burbank Dr, Potomac, MD 20854-1557 | 2020-09-09 |
| 1649880287 | Kathleen Brown | Nurse Practitioner | 9705 Kentsdale Dr, Potomac, MD 20854-4538 | 2020-08-07 |
| 1518585751 | Real Results Aba Services LLC | Behavioral Analyst | 350 Fortune Ter Ste C, Potomac, MD 20854-2910 | 2020-07-13 |
| 1679191290 | Ez Health Resources, LLC | Clinic/Center | 13119 Piney Meetinghouse Rd, Potomac, MD 20854-6350 | 2020-07-09 |
| 1295352342 | Katherine Alexandra Brown | Dietitian, Registered | 9538 Newbridge Dr, Potomac, MD 20854-4480 | 2020-07-05 |
| 1568085314 | Myra Ellen Kaplan | Psychologist | 1123 Bettstrail Way, Potomac, MD 20854-5537 | 2020-05-27 |
| 1679196505 | Jennifer Blair | Counselor | 9315 Rapley Preserve Dr, Potomac, MD 20854-5468 | 2020-05-27 |
| Find all providers in POTOMAC | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GIBSON COMMUNITY HOSPITAL ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.