GIBSON COMMUNITY HOSPITAL (NPI# 1710100284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710100284 |
| Entity Type | Organization |
| Organization Name | GIBSON COMMUNITY HOSPITAL |
| Practice Address |
1120 N Melvin St Gibson City IL 60936-1477 |
| Practice Telephone | 2177842697 |
| Practice Fax Number | 2177842679 |
| Mailing Telephone | 2177842697 |
| Mailing Fax Number | 2177842679 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GREG BEESLEY (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2177842697 |
| Authorized Official Credential | R.PH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP# | 1435709 | 01 |
| Street Address |
1120 N MELVIN ST |
| City | GIBSON CITY |
| State | IL |
| Zip Code | 60936-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705501 | Serge Peter Marinkovic | Surgery | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2005-10-26 |
| 1346883808 | Sheree Stachura | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2019-10-28 |
| 1063054203 | Natalie Weaver | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2019-10-09 |
| 1649757386 | Omar Ahmad Ali | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-07-25 |
| 1306330477 | Gibson Community Hospital Association | Dentist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2018-06-21 |
| 1235667593 | Gibson Community Hospital Association | Family Medicine | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2017-05-31 |
| 1073065140 | Jodie Vaughn | Nurse Practitioner | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2016-10-25 |
| 1982029856 | Jennifer Casey | Clinical Nurse Specialist | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2014-02-28 |
| 1457616229 | Gibson Community Hospital Association | Anesthesiology | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2012-07-09 |
| 1235438417 | Christine Grundeman | Psychiatry & Neurology | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2011-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738738 | Carrie Ann Lithgow | Physical Therapist | 109 N. Sangamon Ave, Gibson City, IL 60936 | 2007-04-16 |
| 1144359001 | Kerrie Ann Patrick | Registered Nurse | 222 N Sangamon, Gibson City, IL 60936 | 2007-03-05 |
| 1578612800 | Donna J Boundy | Dentist | 627 E 8th St, Gibson City, IL 60936 | 2007-01-09 |
| 1093878241 | Drew Curtis Duquette | Chiropractor | 523 and One Half South Sangamon Ave, Gibson City, IL 60936 | 2006-12-19 |
| 1386727642 | Amnuay Sethakorn | Family Medicine | 4 Doctors Park, Gibson City, IL 60936 | 2006-10-23 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1811125784 | Gibson Community Hospital Association | Surgery | 1 Doctors Park, Gibson City, IL 60936 | 2009-06-30 |
| 1295991701 | Trilok Shah | Psychiatry & Neurology | 4 Doctors Park, Gibson City, IL 60936 | 2008-08-04 |
| 1013050046 | Rebecca Anne Wildermuth | Specialist/Technologist | 10 Doctors Park, Gibson City, IL 60936 | 2007-02-15 |
| 1245312602 | Ginny E Pulley | Licensed Practical Nurse | 222 N Sangamon Ave, Gibson City, IL 60936 | 2006-10-19 |
| Find all providers in zip 60936 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407150493 | Gibson Community Hospital Association | General Acute Care Hospital | 1120 N Melvin St, Gibson City, IL 60936-1477 | 2011-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846353 | Express Care, LLC | General Acute Care Hospital | 11 E Adams St Ste 1100, Chicago, IL 60603-6315 | 2020-06-23 |
| 1508152745 | Medical Connections | General Acute Care Hospital | 25749 Sunnymere Dr, Plainfield, IL 60585-1290 | 2011-06-27 |
| 1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
| 1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
| 1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
| 1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
| 1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
| 1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
| 1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
| 1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
| City | GIBSON CITY |
| Zip Code | 60936 |
Please comment or provide details below to improve the information on GIBSON COMMUNITY HOSPITAL.
| 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.