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

Q: What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since November 18, 2020CLIA 14D0043973 · Accreditation

1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2212(217) 784-2572 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Jul 7, 2022, Nov 18, 2020 (3 updates tracked since 2020).

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About Gibson Community Hospital Association NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI 1043813454), doing business as Gah Ent And Urology, is a healthcare organization registered as an urology in Gibson City, Illinois and active in the NPI registry since November 2020. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1043813454

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251 · Fax (217) 784-5853

Phone(217) 784-2212

Fax(217) 784-2572

Organization SubpartYes

Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601

Enumeration DateNovember 18, 2020

Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2026

✔ NPI 1043813454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

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.

1120 N MELVIN ST, Gibson City, IL 60936

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Other Names 2

Doing Business AsGah Ent And Urology

Doing Business AsGibson Area Hospital Urology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0043973

Gibson Community Hospital · Gibson City, IL

Active · expires Jan 2, 2027

CLIA Number14D0043973

Laboratory TypeHospital

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorDr. Sue A. Strayer

Laboratory Phone(217) 784-2661

Laboratory LocationGibson Community Hospital1120 N Melvin Street, Gibson City, IL 60936

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALCOLM TAYLOR ATC

Specialist/Technologist (Athletic Trainer)