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GIBSON AREA MEDICAL CLINIC
NPI 1154702181
Clinic/Center - Rural Health in Gibson City, IL

Active since June 16, 2015CLIA 14D0891029 · Waiver
8 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-4086(217) 784-4437 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gibson Area Medical Clinic NPPES

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

GIBSON AREA MEDICAL CLINIC (NPI 1154702181) is a healthcare organization registered as a rural health in Gibson City, Illinois and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1154702181
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address8 DOCTORS PARKGibson City, IL 60936-2000
Mailing Address8 Doctors ParkGibson City, IL 60936-2000 · (217) 784-4086 · Fax (217) 784-4437
Phone(217) 784-4086
Fax(217) 784-4437
Organization SubpartYes
Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601
Enumeration DateJune 16, 2015
Last NPPES UpdateSeptember 3, 2019
✔ NPI 1154702181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
8 DOCTORS PARK, Gibson City, IL 60936
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Other Names 1

Doing Business AsGibson Area Medical Clinic

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 Waiver 14D0891029

Gibson Area Medical Clinic #8 · Gibson City, IL
Active · expires Aug 29, 2026
CLIA Number14D0891029
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorOmar Geada
Laboratory Phone(217) 784-4086
Laboratory LocationGibson Area Medical Clinic #88 Doctors Park, Gibson City, IL 60936
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MISS ANNE-MARIE R RICHMOND PA-C
Physician Assistant
8 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-8580
NEIL R NELSON MD
Internal Medicine
8 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-8580
NEIL R NELSON MD
Internal Medicine
8 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-8580
DR. OMAR GEADA M.D.
Internal Medicine
8 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-4086
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
8 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-8580

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gibson Community Hospital Association's NPI number?

The NPI number for Gibson Community Hospital Association is 1154702181. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Gibson Area Medical Clinic.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 8 Doctors Park, Gibson City, IL 60936. The listed phone number is (217) 784-4086.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Gibson Community Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0891029) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gibson Community Hospital Association was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.