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Gibson Community Hospital Association

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Gibson City, IL

NPI 1689682452 · NPPES record last updated Dec 15, 2010

Key facts

NPI
1689682452
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
0000836 (IL)
Legal business name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Practice address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone
(217) 784-4251
NPI assigned
Aug 4, 2006
Organization subpart
Yes
Parent organization (as reported)
GIBSON COMMUNITY HOSPITAL ASSOCIATION

Authorized official

Name
Rob Schmitt
Title
Ceo
Phone
(217) 784-2611

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 22

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

Other NPIs with the same Medicare PAC ID 15

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

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

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 159

Affiliated clinicians 153

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

View all 153

Medicare Care Compare: Hospital

Listed as
Gibson Community Hospital CCN 141317
Overall star rating
★★★★☆ 4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL

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
Corporation · Non-profit
Incorporated
Nov 30, 1946 in IL
Enrollment address
1120 N Melvin St
Gibson City, IL 60936-1477

Hospital certification: CCN 14Z317

Legal name
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Doing business as
GIBSON AREA HOSPITAL & HEALTH SERVICES
Organization structure
Corporation · Non-profit
Incorporated
Nov 30, 1946 in IL
Enrollment address
1120 N Melvin St
Gibson City, IL 60936-1477
Other Hospital Practice Location

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 Officer
Ceo		 Dec 9, 2002
W-2 Managing Employee
Ceo		 Dec 9, 2002
Jessica Delost
Individual 		Corporate Officer Oct 1, 2022
W-2 Managing Employee Oct 1, 2022
Corporate Officer
Cco		 Oct 1, 2022
W-2 Managing Employee
Cco		 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
Matthew R Ertel
Individual 		Corporate Officer
Cfo		 Oct 1, 2016
W-2 Managing Employee
Cfo		 Oct 1, 2016
Robin L Rose
Individual 		Corporate Officer
Coo/Cco		 Nov 15, 2004
W-2 Managing Employee
Coo/Cco		 Nov 15, 2004
Andy Hudson
Individual 		Corporate Officer Nov 1, 2022
Corporate Director Nov 1, 2022
Marty a Nuss
Individual 		Corporate Director Nov 1, 2010
Steven P Kelly
Individual 		Corporate Director Nov 1, 2009
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

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071116000131 IL Part a Provider - Critical Access Hospital 5092703124 Receives reassigned benefits from 156 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Onarga, IL; Hoopeston, IL; Gibson City, IL; Forrest, IL; Cissna Park, IL
O20101213000543 IL Part a Provider - Critical Access Hospital 5092703124 Practice locations: Gibson City, IL

National Provider Directory

Part of
The Paxton Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000836 IL Yes

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

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

Other names

  • Swing Bed Unit Doing business as

Other providers in Gibson City, IL

All providers in Gibson City, IL · Medicare Defined Swing Bed Hospital Unit in Illinois

Sources for this page

Verify at the official NPI Registry.