GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1043813454
Urology in Gibson City, IL

NPI Status: Active since November 18, 2020

Contact Information

1120 N MELVIN ST
GIBSON CITY, IL
ZIP 60936
Phone: (217) 784-2212
Fax: (217) 784-2572

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Urology
CLIA Number: 14D0043973
CLIA Cert. Type: Hospital
CLIA Exp. Date: 01-02-2027

About GIBSON COMMUNITY HOSPITAL ASSOCIATION

This page provides the complete NPI Profile along with additional information for Gibson Community Hospital Association, a provider established in Gibson City, Illinois operating as a Urology. The healthcare provider is registered in the NPI registry with number 1043813454 assigned on November 2020. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated January 2026. Gibson Community Hospital Association operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Matthew Ertel (Chief Financial Officer)

NPI: 1043813454
Provider Legal Name: GIBSON COMMUNITY HOSPITAL ASSOCIATION
Other Organization Name
Other Name Type: (6)
Entity Type: Organization
Location Address: 1120 N MELVIN ST GIBSON CITY, IL 60936
Location Phone: (217) 784-2212
Location Fax: (217) 784-2572
Mailing Address: 1120 N MELVIN ST GIBSON CITY, IL 60936
Mailing Phone: (217) 784-4251
Mailing Fax: (217) 784-2572
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 11-18-2020
Last Update Date: 01-07-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Urology
Taxonomy Code: 208800000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MATTHEW ERTEL
Authorized Official Title: CHIEF FINANCIAL OFFICER
Authorized Official Phone: (217) 784-2601

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 14D0043973
Facility Type: Hospital
Certificate Effective Date: January 03, 2025
Certificate Expiration Date: January 02, 2027
Laboratory Director: DR. SUE A. STRAYER
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Gibson Community Hospital Association on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043813454, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 8

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 1 + 6 + 1 + 6 + 4 + 1 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4

This NPI is valid

The calculated check digit is 4, which matches the last digit of 1043813454.