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NPI Code Detail

MEDICARE: GIBSON GENERAL HOSPITAL INC.

MEDICARE: GIBSON GENERAL HOSPITAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC0050XCritical Access Hospital Clinic/Center
2275N00000XMedicare Defined Swing Bed Hospital Unit
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1200713830OTHERINFIRSTSTEP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000107485OTHERINANTHEM BLUE CROSS

General Provider Information

NPI Number : 1558346007
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIBSON GENERAL HOSPITAL INC.
Provider Business Mailing Address
First Line : 1808 SHERMAN DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-3401
Fax Number : 812-385-9307
Provider Business Practice Location Address
First Line : 1808 SHERMAN DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-1043
Country : US
Telephone Number : 812-385-3401
Fax Number : 812-385-9307
Authorized Official
Title or Position : VICE PRESIDENT AND CNO
Name : MRS. LOIS MORGAN
Credential :
Telephone Number : 812-385-9237
Provider Enumeration Date : 12/07/2005
Last Update Date : 03/27/2024

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Directions to “GIBSON GENERAL HOSPITAL INC. ” Practice Location

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