Gibson Family Pharmacy, A Member Of The Medicine Shoppe Family

LBN: Gibson Community Hospital Association
Gibson Family Pharmacy, A Member Of The Medicine Shoppe Family is an health care organization with primary practice located at 104 N. Sangamon Ave , Gibson City IL 60936-1343. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Gibson Community Hospital Association can be contacted via phone (217) 784-8545, or through Ertel, Matthew via phone (217) 784-4251.

Contact Information

Primary practice address
104 N. Sangamon Ave Gibson City IL 60936-1343
Fax: (217) 784-8039
Website:
Authorized official contact:
Name: Ertel, Matthew

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 054015227 Illinois

Profile Details

NPI number 1477570166
LBN Legal business name Gibson Community Hospital Association
DBA Doing business as Gibson Family Pharmacy, A Member Of The Medicine Shoppe Family
Authorized official Ertel, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477570166 NPPES
Illinois Other 1422853 NCPDP #
Illinois MEDICAID 550868762001 NCPDP #

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