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

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

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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 1114507753), doing business as Gah Pulmonology, is a healthcare organization registered as a pulmonary disease in Gibson City, Illinois and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Gibson City and lists Matthew Ertel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114507753

Entity TypeOrganization

Primary Taxonomy207RP1001X

Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION

Location Address1120 N MELVIN STGibson City, IL 60936-1477

Mailing Address1120 N Melvin StGibson City, IL 60936-1477

Phone(217) 784-2212

Fax(217) 784-2572

Organization SubpartYes

Authorized OfficialMatthew ErtelCfo · (217) 784-2601

Enumeration DateApril 8, 2021

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1114507753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Definition

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.

1120 N MELVIN ST, Gibson City, IL 60936

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Other Names 2

Doing Business AsGah Pulmonology

Doing Business AsGibson Area Hospital Pulmonology Clinic

Secondary Practice Location 1

Location 17 Doctors ParkGibson City, IL 60936-2000 · Phone (217) 784-5500 · Fax (217) 784-4106

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

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)