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General NPI Number Information
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NPI Number | 1730587809
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Entity Type | Organization
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Legal Business Name | GIBSON GENERAL HOSPITAL INC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 4840 S MAPLE TREE DR
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City | PRINCETON
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State | IN
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Zip | 47670-9277
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Country | US
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Telephone | 812-387-4444
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Fax | 812-387-4445
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | EVANSVILLE
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State | IN
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Zip | 47706-1197
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Country | US
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Telephone | 812-450-6815
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Fax | 812-450-6822
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | LOIS MORGAN
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Credential |
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Telephone | 812-385-9221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 14-005019-1
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License Number State | IN
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