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FAMILY HEALTHCARE OF GIBSON CITY
NPI 1699922138
Family Medicine in Gibson City, IL

Active since August 27, 2008CLIA 14D2265639 · Microscopy
7 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-5500(217) 784-4106 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2020, Sep 3, 2019 (2 updates tracked since 2019).

About Family Healthcare Of Gibson City NPPES

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

FAMILY HEALTHCARE OF GIBSON CITY (NPI 1699922138) is a healthcare organization registered as a family medicine in Gibson City, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through July 28, 2026 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699922138
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address7 DOCTORS PARKGibson City, IL 60936-2000
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-5500 · Fax (217) 784-4106
Phone(217) 784-5500
Fax(217) 784-4106
Organization SubpartYes
Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601
Enumeration DateAugust 27, 2008
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1699922138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.

7 DOCTORS PARK, Gibson City, IL 60936
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Other Names 1

Doing Business AsFamily Healthcare Of Gibson City

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) 14D2265639

Family Health Care Of Gibson City · Gibson City, IL
Active · expires Jul 28, 2026
CLIA Number14D2265639
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorKristina Dakis
Laboratory Phone(217) 784-5500
Laboratory LocationFamily Health Care Of Gibson City7 Doctor's Park, Gibson City, IL 60936
CLIA data matches this NPI record on: 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.

Other Providers at the Same Location NPPES 4

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

KATELYN BELLE VAN VICKLE LSW
Social Worker
7 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-5500
BROOKE RACHELLE STEWART FNP-C
Nurse Practitioner
7 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-5500
CHELSEY LUKE
Nurse Practitioner (Family)
7 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-5500
DR. ISMAIL BOBAT MD
Internal Medicine (Pulmonary Disease)
7 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-5515

Frequently Asked Questions

What is GIBSON COMMUNITY HOSPITAL ASSOCIATION's NPI number?

The NPI number assigned to this healthcare provider is 1699922138, enumerated as an "organization" on August 27, 2008.

Where is the provider located?

The provider is located at 7 DOCTORS PARK GIBSON CITY, IL 60936 and the phone number is (217) 784-5500.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.