PRAIRIE FAMILY MEDICINE AND OBSTETRICS
NPI 1154723492
Physician Assistant in Forrest, IL

Q: What is Gibson Community Hosptial Assn's NPI number?

The NPI number for Gibson Community Hosptial Assn is 1154723492. It was assigned to this organization in the NPPES registry on September 18, 2014. The provider is doing business as Prairie Family Medicine And Obstetrics.

Q: What is Gibson Community Hosptial Assn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 18, 2014

122 E WABASH AVE, FORREST, IL 61741(815) 657-8707(815) 657-8717 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Family Medicine And Obstetrics NPPES

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

PRAIRIE FAMILY MEDICINE AND OBSTETRICS (NPI 1154723492) is a healthcare organization registered as a physician assistant in Forrest, Illinois and active in the NPI registry since September 2014. The organization lists Dawn R Kestner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1154723492

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameGIBSON COMMUNITY HOSPTIAL ASSN

Location Address122 E WABASH AVEForrest, IL 61741-9369

Mailing Address122 E Wabash Ave, P O Box 58Forrest, IL 61741-9369 · (815) 657-8707 · Fax (815) 657-8717

Phone(815) 657-8707

Fax(815) 657-8717

Organization SubpartYesParent: Gibson Community Hospital Assn

Authorized OfficialDawn R KestnerOffice Manager · (815) 657-8707

Enumeration DateSeptember 18, 2014

✔ NPI 1154723492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085005214

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

122 E WABASH AVE, Forrest, IL 61741

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Other Names 1

Doing Business AsPrairie Family Medicine And Obstetrics

Other Identifiers 2

Medicaid1063462976IL

Medicare PIN148505

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION

Clinic/Center (Rural Health)