GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC – NPI #1174262968
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC is a provider located in GIBSON CITY, IL. NPPES has assigned the NPI number 1174262968 to GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC on June 01, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC” is a dba name, the actual legal business name for this organization is GIBSON COMMUNITY HOSPITAL ASSOCIATION. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 4 years ago on Jul 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC below.

NPI Profile for
GIBSON COMMUNITY HOSPITAL ASSOCIATION

NPI Number
1174262968
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Doing Business As (dba): GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC
Primary location
4 DOCTORS PARK
GIBSON CITY, IL 60936-2000
Phone: (217) 784-2806 Fax: (217) 680-0006
Mailing address
1120 N MELVIN ST
GIBSON CITY, IL 60936-1477
Phone: (217) 784-4251 Fax: (217) 784-2645
Organization Subpart
Yes - GIBSON AREA HOSPITAL RHEUMATOLOGY CLINIC is subpart of another organization.
Authorized Official
MATTHEW ERTEL
CFO
Phone: (217) 784-2601
Updated
Certification Date
Jul 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.