Gibson Community Hosptial Assn

NPI #1154723492 in Forrest, Illinois

Provider Information

NPI Number
1154723492
Entity Type
Organization
Organization Name
Gibson Community Hosptial Assn
Subpart
Yes (part of a larger organization)
Parent Organization
GIBSON COMMUNITY HOSPITAL ASSN
Primary Specialty
Physician Assistant
Enumeration Date
Sep 18, 2014
Last Updated
Sep 18, 2014

Practice Location

Address
122 E WABASH AVE
ZIP Code
61741-9369
Phone
(815) 657-8707

Authorized Official

Name
DAWN R KESTNER, CPC
Title
OFFICE MANAGER
Phone
(815) 657-8707

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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