FAMILY HEALTHCARE OF FAIRBURY
NPI 1548544679
Family Medicine in Fairbury, IL

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 07, 2011CLIA 14D2031759 · Microscopy

221 WAL CREST DR, FAIRBURY, IL 61739(815) 692-1150(815) 692-1153 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Family Healthcare Of Fairbury NPPES

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

FAMILY HEALTHCARE OF FAIRBURY (NPI 1548544679) is a healthcare organization registered as a family medicine in Fairbury, Illinois and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through October 25, 2027 and lists Matthew Ertel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548544679

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION

Location Address221 WAL CREST DRFairbury, IL 61739-8998

Mailing Address221 Wal Crest DrFairbury, IL 61739-8998 · (815) 692-1150 · Fax (815) 692-1153

Phone(815) 692-1150

Fax(815) 692-1153

Organization SubpartNo

Authorized OfficialMatthew ErtelCfo · (217) 784-2600

Enumeration DateOctober 7, 2011

Last NPPES UpdateNovember 8, 2023

NPPES CertifiedNovember 8, 2023

✔ NPI 1548544679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 0000836

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

221 WAL CREST DR, Fairbury, IL 61739

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Other Names 1

Doing Business AsFamily Healthcare Of Fairbury

Other Identifiers 1

Other825130IL · Medicare Ptan

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

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2031759

Family Health Care Of Fairbury · Fairbury, IL

Active · expires Oct 25, 2027

CLIA Number14D2031759

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2025

Certificate Expiration DateOctober 25, 2027

Laboratory DirectorRachel M. Wenger MD

Laboratory Phone(815) 692-1150

Laboratory LocationFamily Health Care Of Fairbury221 Wal-Crest Dr, Fairbury, IL 61739

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1548544679. It was assigned to this organization in the NPPES registry on October 7, 2011. The provider is doing business as Family Healthcare Of Fairbury.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 221 Wal Crest Dr, Fairbury, IL 61739. The listed phone number is (815) 692-1150.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gibson Community Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2031759) is associated with this NPI, valid through October 25, 2027. 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 November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.