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CAH141317-00 GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES (Active)
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Main Details
Name
GIBSON COMMUNITY HOSPITAL DBA GIBSON AREA HOSPITAL AND HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141317-00
Medicare Provider Number
141317
Additional Details
Current Program Status
Active
Registration Date
5/24/2011
Participating Start Date
7/1/2011
Participating Approval Date
6/15/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Gibson Area Hospital and Healt Svcs
Matthew Ertel, CFO
(217) 784-2601
Primary Contact
Gibson Area Hospital and Healt Svcs
KELSEY SANDSMARK, DIRECTOR OF PHARMACY
(217) 784-2697
Addresses
Street Address
1120 N MELVIN
GIBSON CITY, IL 60936
Billing Address
GIBSON COMMUNITY HOSPITAL
PO BOX 429
GIBSON CITY, IL 60936-0429
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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