GIBSON HEALTH OF MAHOMET
NPI 1689198863
Clinic/Center - Rural Health in Mahomet, IL

Q: 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.

Active since July 31, 2017CLIA 14D2079025 · Microscopy

1504 PATTON DR STE 2, MAHOMET, IL 61853(217) 586-2633(217) 590-0272 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, Aug 29, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Gibson Health Of Mahomet NPPES

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

GIBSON HEALTH OF MAHOMET (NPI 1689198863) is a healthcare organization registered as a rural health in Mahomet, Illinois and active in the NPI registry since July 2017. The organization holds a CLIA Microscopy certificate valid through June 8, 2028 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1689198863

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION

Location Address1504 PATTON DR STE 2Mahomet, IL 61853-8126

Mailing Address1504 Patton Dr Ste 2Mahomet, IL 61853-8126 · (217) 586-2633 · Fax (217) 590-0272

Phone(217) 586-2633

Fax(217) 590-0272

Organization SubpartYes

Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601

Enumeration DateJuly 31, 2017

Last NPPES UpdateFebruary 4, 20225 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1689198863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

1504 PATTON DR STE 2, Mahomet, IL 61853

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Other Names 1

Doing Business AsGibson Health Of Mahomet

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) 14D2079025

Gibson Health Of Mahomet · Mahomet, IL

Active · expires Jun 8, 2028

CLIA Number14D2079025

Laboratory TypePhysician Office

Certificate Effective DateJune 9, 2026

Certificate Expiration DateJune 8, 2028

Laboratory DirectorMark Spangler MD

Laboratory Phone(217) 586-2633

Laboratory LocationGibson Health Of Mahomet1504 Patton Dr, Ste 2, Mahomet, IL 61853

CLIA data matches this NPI record on: Address Name 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 1689198863. It was assigned to this organization in the NPPES registry on July 31, 2017. The provider is doing business as Gibson Health Of Mahomet.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 1504 Patton Dr Ste 2, Mahomet, IL 61853. The listed phone number is (217) 586-2633.

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 for Provider-Performed Microscopy Procedures (PPMP) (number 14D2079025) is associated with this NPI, valid through June 8, 2028. 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 February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.