NPIMap

Organization Active NPI

Gibson General Hospital Inc.

  • Clinical Medical Laboratory
  • Princeton, IN
National Provider Identifier
1356975569
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GIBSON GENERAL HOSPITAL INC.
Practice address
1808 Sherman Dr
Princeton, IN 47670-1043
Phone
(812) 385-3401
NPI assigned
Feb 26, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GIBSON GENERAL HOSPITAL INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
Lois Morgan
Title
Cno
Phone
(812) 385-9237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1808 Sherman Dr
Princeton, IN 47670-1043

Mailing address

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9401

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0361322Deaconess Clinic Gibson Hospital Suite 2203 a -1808 Sherman Suite 2203, Princeton, IN 47670Certificate of waiverNov 30, 2027
15D0361330Deaconess Gibson Hospital1808 Sherman Dr, Princeton, IN 47670AccreditationJan 2, 2027
15D1052190Gibson General Hospital /4TH Floor Nursing1808 Sherman Drive, Princeton, IN 47670Certificate of waiverMar 19, 2028
15D2033351Deaconess Gibson Hospital- Multi Specialty1808 Sherman Dr, Princeton, IN 47670Provider-performed microscopyNov 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gibson General Hosp Ane12 organizations share this tax ID, including this one
Part of
Gibson General Hosp Ane

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1356975569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON GENERAL HOSPITAL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GIBSON GENERAL HOSPITAL INC.",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "812-385-9237"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.