Gibson Community Hospital Association
General Practice in Fisher, IL. Organization (NPI-2).
NPI number1508214404
StatusActive
Last updated in NPPESJun 1, 2016
Details
- NPI
- 1508214404
- Entity type
- Organization (NPI-2)
- Legal business name
- Gibson Community Hospital Association
- Organization subpart
- No
- Enumeration date
- Jun 1, 2016
- Last updated
- Jun 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Other names
- Family Healthcare Of Fisher (Doing Business As)
Practice location
104 S 3rd StFisher, IL 61843-9549
Phone 217-897-1692 · Fax 217-897-6027
Mailing address
104 S 3rd StFisher, IL 61843-9549
Phone 217-897-1692 · Fax 217-897-6027
Authorized official
Bryan Coffey
Chief Financial Officer
2177842601
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