NPIMap

Organization Active NPI

Gibson Community Hospital Association

Doing business as Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
National Provider Identifier
1114935681
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0000836 Issued in IL
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Gibson Area Hospital and Health Services
Practice address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone
(217) 784-4251
NPI assigned
Aug 3, 2006
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Ertel
Title
Cfo
Phone
(217) 784-2600

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0000836 IL Primary
Nursing Facility/Intermediate Care Facility 313M00000X 0005868 IL
Skilled Nursing Facility 314000000X 0000836 IL

Addresses

Primary practice location

1120 N Melvin St
Gibson City, IL 60936-1477

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Other identifiers 4

IdentifierTypeStateIssuer
0219OtherILBLUE CROSS BLUE SHIELD
003738OtherILHEALTH ALLIANCE MEDICAL P
2715531OtherILBLUE SHIELD
87306OtherILPERSONALCARE INS OF IL

Other names 1

  • Gibson Area Hospital and Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@gibsonhospital.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040505001293 IL Part B Supplier - Clinic/Group Practice 5092703124 Receives reassigned benefits from 201 practitioners
38 other NPIs on this enrollment
Practice locations: Watseka, IL; Urbana, IL; Paxton, IL; Fairbury, IL; Onarga, IL; Mahomet, IL; Hoopeston, IL; Gibson City, IL…
O20071116000131 IL Part A Provider - Critical Access Hospital 5092703124 Receives reassigned benefits from 156 practitioners
22 other NPIs on this enrollment
Practice locations: Onarga, IL; Hoopeston, IL; Gibson City, IL; Forrest, IL; Cissna Park, IL
O20170313001024 IL Part A Provider - Skilled Nursing Facility 5092703124 Practice locations: Gibson City, IL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1114935681. Details of each certification follow.

Hospital certification: CCN 141317

Legal name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Doing business as
GIBSON AREA HOSPITAL & HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 3, 2002
Last certification
Oct 7, 2016
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1946 in IL
Enrollment address
1120 N Melvin St
Gibson City, IL 60936-1477

Skilled nursing facility certification: CCN 145979

Legal name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Doing business as
GIBSON COMMUNITY HOSPITAL ANNEX
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
May 19, 1999
Last certification
Mar 13, 2024
Beds
42 (16 certified)
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1946 in IL
Enrollment address
430 E 19TH St
Gibson City, IL 60936-2002
Nursing home name
GIBSON COMMUNITY HSP ANNEX

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Other NPIs on the same Medicare enrollment 43

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 43

Care Compare: Hospital

Medicare Care Compare
Listed as
Gibson Community HospitalCCN 141317 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
Gibson Community HSP AnnexCCN 145979 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
May 19, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
1612.7 residents per day on average
Penalties (3 years)
1Fines totaling $20,046

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations (25 of 514)

16240 N Fort McDowell Rd
Fort McDowell, AZ 85264
Phone (480) 789-7890

2310 E Brown Rd
Mesa, AZ 85213
Phone (480) 649-9000

41930 N Venture Dr
Ste 160
Phoenix, AZ 85086

14671 W Mountain View Blvd
Ste 112
Surprise, AZ 85374

4005 N Fresno St
Fresno, CA 93726
Phone (559) 222-9394

812 Pollard Rd
Los Gatos, CA 95032

1020 29th St
Ste 550
Sacramento, CA 95816
Phone (916) 733-8766

2041 Georgia Ave NW
Rm 5C26
Washington, DC 20060
Phone (202) 489-6414

2401 E St NW
Washington, DC 20520
Phone (202) 516-2074

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

311 N Clyde Morris Blvd
Ste 360
Daytona Beach, FL 32114
Phone (386) 254-4199

3601 SW 160th Ave
Miramar, FL 33027
Phone (305) 866-7123

3643 Lake Center Dr
Mount Dora, FL 32757
Phone (352) 385-2631

8340 Collier Blvd
Ste 200
Naples, FL 34114
Phone (239) 348-4538

110 State St E
Ste A
Oldsmar, FL 34677
Phone (813) 814-9504

3417 Tamiami Trl
Ste B
Port Charlotte, FL 33952
Phone (941) 629-9200

7900 SW 57th Ave
Ste 21
South Miami, FL 33143
Phone (305) 662-3984

8425 Northcliffe Blvd
Ste 115
Spring Hill, FL 34606

1298 S Chestatee
Dahlonega, GA 30533
Phone (706) 864-3400

775 Poplar Rd
Ste 120
Newnan, GA 30265
Phone (770) 400-4510

11685 Alpharetta Hwy
Ste 270
Roswell, GA 30076
Phone (770) 410-4610

200 Crescent Center Pkwy
#A
Tucker, GA 30084
Phone (770) 496-3625

3618 N Division St
Davenport, IA 52806
Phone (319) 391-4827

220 Mulberry St
Ste A
Wapello, IA 52653
Phone (319) 523-3421

500 S 11th Ave
Ste 203
Pocatello, ID 83201
Phone (208) 232-0208

Interoperability endpoints

  • Direct secure messaging: adampena@gahhs.medalliesdirect.net
  • Direct secure messaging: ashrafaldadah@gahhs.medalliesdirect.net
  • Direct secure messaging: davidkieser@gahhs.medalliesdirect.net
  • Direct secure messaging: ivonnetorresbaez@gahhs.medalliesdirect.net
  • Direct secure messaging: patriciabelle@gahhs.medalliesdirect.net
  • Direct secure messaging: shaunrudicil@gahhs.medalliesdirect.net

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert C Schmitt Individual Corporate OfficerCeo Dec 9, 2002
W-2 Managing EmployeeCeo Dec 9, 2002
Jessica Delost Individual Corporate Officer Oct 1, 2022
W-2 Managing Employee Oct 1, 2022
Michael E Young Individual Corporate Director Nov 1, 2001
Ellen M Lee Individual Corporate Director Nov 1, 1990
Mark M Spangler Individual Corporate Director Nov 1, 2022
Justin Taylor Individual Corporate Director Mar 1, 2018
Kevin D Seymour Individual Corporate Director Mar 1, 2018
Kathleen J Bennett Individual Corporate Director Nov 1, 2010
Donald P Reese Individual Corporate Director Feb 1, 2021
Corporate Director Feb 21, 2021
W-2 Managing Employee Oct 1, 2022
Matthew R Ertel Individual Corporate OfficerCfo Oct 1, 2016
W-2 Managing EmployeeCfo Oct 1, 2016
Robin L Rose Individual Corporate OfficerCoo/Cco Nov 15, 2004
W-2 Managing EmployeeCoo/Cco Nov 15, 2004
Andy Hudson Individual Corporate Officer Nov 1, 2022
Corporate Director Oct 1, 2022
Marty a Nuss Individual Corporate Director Nov 1, 2010
Steven P Kelly Individual Corporate Director Nov 1, 2009
Corporate Director Nov 1, 2005
Brian E Steidinger Individual Corporate Director Nov 16, 2016
Justin Swan Individual Corporate Director Oct 1, 2022
Mike E Petersen Individual Corporate Director Mar 1, 2018
Margo C Martin Individual Corporate Director Nov 1, 1999

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4,229

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 4,229

Affiliated clinicians 153

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 153

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1114935681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "ERTEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "217-784-2600"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0000836",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0005868",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0000836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE MEDICAL P",
            "identifier": "003738",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2715531",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONALCARE INS OF IL",
            "identifier": "87306",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@gibsonhospital.org",
            "affiliation": "N",
            "endpointDescription": "Gibson Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 N Melvin St",
            "city": "Gibson City",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609361477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gibson Area Hospital and Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gibson Area Hospital and Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gibson City, IL

Sources for this page

Verify at the official NPI Registry.