GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1114507753
Internal Medicine - Pulmonary Disease in Gibson City, IL

NPI Status: Active since April 08, 2021

Contact Information

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

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  • Organization
  • Internal Medicine
  • Pulmonary Disease

About GIBSON COMMUNITY HOSPITAL ASSOCIATION

This page provides the complete NPI Profile along with additional information for Gibson Community Hospital Association, an internist established in Gibson City, Illinois operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1114507753 assigned on April 2021. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated February 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 (Cfo)

NPI
1114507753
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
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-08-2021
Last Update Date
02-04-2026
Code Navigator

An internist like Gibson Community Hospital Association is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 7 Doctors Park
    Gibson City, IL 60936
    (217) 784-5500

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

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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
CFO
Authorized Official Phone
(217) 784-2601

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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 1114507753, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

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
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
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 1 → 2 5 → 10 → 1 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 1 + 0 + 0 + 1 + 4 + 7 + 1 + 0 + 24 = 47

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

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1114507753.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ambulance (Land Transport)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Medicare Defined Swing Bed Unit
1120 N MELVIN ST
GIBSON CITY, IL 60936
Physical Therapist
1120 N MELVIN ST
GIBSON CITY, IL 60936
Occupational Therapy Assistant
1120 N MELVIN ST
GIBSON CITY, IL 60936
Nurse Anesthetist, Certified Registered
1120 N MELVIN ST
GIBSON CITY, IL 60936
Nursing Facility/Intermediate Care Facility
1120 N MELVIN ST
GIBSON CITY, IL 60936
General Acute Care Hospital (Critical Access)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Dentist
1120 N MELVIN ST
GIBSON CITY, IL 60936
Dentist
1120 N MELVIN ST
GIBSON CITY, IL 60936
Nurse Practitioner (Family)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Nurse Practitioner
1120 N MELVIN ST
GIBSON CITY, IL 60936
General Acute Care Hospital (Critical Access)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Psychiatry & Neurology (Psychiatry)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Nurse Practitioner (Family)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Otolaryngology
1120 N MELVIN ST
GIBSON CITY, IL 60936
Dental Hygienist
1120 N MELVIN ST
GIBSON CITY, IL 60936
Social Worker (Clinical)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Specialist/Technologist (Athletic Trainer)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Internal Medicine (Medical Oncology)
1120 N MELVIN ST
GIBSON CITY, IL 60936
Psychiatry & Neurology (Neurology)
1120 N MELVIN ST
GIBSON CITY, IL 60936

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114507753, enumerated as an "organization" on April 08, 2021.

The provider is located at 1120 N MELVIN ST GIBSON CITY, IL 60936 and the phone number is (217) 784-2212.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.