| NPI | 1740641745 |
|---|---|
| Doing Business As | GIBSON AREA PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW ERTEL Chief Financial Officer 217-784-2601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-07-30 |