NPIMap

Organization Active NPI

Gibson Area Hospital

  • Rural Acute Care Hospital
  • Gibson City, IL
National Provider Identifier
1285982249
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
070.017543 Issued in IL
Legal business name
GIBSON AREA HOSPITAL
Practice address
10 Doctors Park
Gibson City, IL 60936-2009
Phone
(217) 784-2650
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Jonathan Leigh Breeden
Title
Physical Therapist
Phone
(217) 784-2650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 070.017543 IL Primary

Addresses

Primary practice location

10 Doctors Park
Gibson City, IL 60936-2009

Mailing address

10 Doctors Park
Gibson City, IL 60936-2009
Phone (217) 784-2650

National Provider Directory

National Provider Directory
Tax ID family
The Paxton Clinic42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ca474ce8-3721-4dfa-ad48-2cc396fe7390/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/gibson-a5695337

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1285982249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOCTORS PARK",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609362009",
            "telephone_number": "217-784-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS PARK",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609362009",
            "telephone_number": "217-784-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON AREA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "BREEDEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "217-784-2650"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "IL",
            "license": "070.017543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibson City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.