GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI# 1972509701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972509701 |
Entity Type | Organization |
Organization Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
Other Organization Name | THE ONARGA CLINIC |
Practice Address |
912 W Seminary Ave Onarga IL 60955-1401 |
Practice Telephone | 8152684840 |
Practice Fax Number | 8152684845 |
Mailing Telephone | 8152684840 |
Mailing Fax Number | 8152684845 |
Enumeration Date | 2005-06-27 |
Last Update Date | 2019-09-03 |
Authorized Official Name | MATTHEW ERTEL (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 2177842601 |
Is Organization Subpart | Y |
Parent Organization Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
=========007 | IL | Ambulatory Health Care Facilities |
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
The Onarga Clinic | 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 |
1356779417 | Gibson Community Hospital Association | Clinic/Center | 106 E. State St, Potomac, IL 61865 | 2013-10-28 |
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 |
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 |
912 W SEMINARY AVE |
City | ONARGA |
State | IL |
Zip Code | 60955-1401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285294272 | Tim Ondrey | Physical Therapy Assistant | 912 W Seminary Ave, Onarga, IL 60955-1401 | 2019-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
1700032646 | Douglas Andrew Lanoue | Family Medicine | 912 W. Seminary Ave, Onarga, IL 60955 | 2008-08-12 |
1770616559 | Susan Kay Gray | Nurse Practitioner | 109 N Chestnut, Onarga, IL 60955 | 2007-03-13 |
1841249372 | Nexus Family Healing | Substance Abuse Rehabilitation Facility | 118 East Lincoln Street, Onarga, IL 60955 | 2006-05-10 |
1780938746 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 N Poplar, Onarga, IL 60955-0107 | 2012-10-30 |
1427006048 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2006-05-05 |
1629552229 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2018-09-19 |
1942579743 | Nexus | Residential Treatment Facility, Emotionally Disturbed Children | 110 N Locust St, Onarga, IL 60955-1213 | 2011-12-22 |
1861671406 | Leya M Barrett | Social Worker | 110 N Locust St, Onarga, IL 60955-1213 | 2007-10-31 |
1508064221 | Karen M Robertie | Counselor | 110 N Locust St, Onarga, IL 60955-1213 | 2007-07-03 |
Find all providers in zip 60955 |
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 |
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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.