GIBSON AREA PRIMARY CARE
NPI 1740641745
Clinic/Center - Rural Health in Gibson City, 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 March 18, 2016CLIA 14D2112747 · Microscopy

3 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-4030 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Feb 4, 2022, Feb 26, 2020 and 1 more (4 updates tracked since 2016).

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About Gibson Area Primary Care NPPES

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

GIBSON AREA PRIMARY CARE (NPI 1740641745) is a healthcare organization registered as a rural health in Gibson City, Illinois and active in the NPI registry since March 2016. The organization holds a CLIA Microscopy certificate valid through May 8, 2028 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1740641745

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION

Location Address3 DOCTORS PARKGibson City, IL 60936-2000

Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251

Phone(217) 784-4030

Organization SubpartYes

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

Enumeration DateMarch 18, 2016

Last NPPES UpdateJuly 30, 20244 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1740641745 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

3 DOCTORS PARK, Gibson City, IL 60936

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Other Names 1

Doing Business AsGibson Area Primary Care

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) 14D2112747

Gibson Area Primary Care · Gibson City, IL

Active · expires May 8, 2028

CLIA Number14D2112747

Laboratory TypePhysician Office

Certificate Effective DateMay 9, 2026

Certificate Expiration DateMay 8, 2028

Laboratory DirectorMark Spangler M D

Laboratory Phone(217) 784-4030

Laboratory LocationGibson Area Primary Care3 Doctor Park, Gibson City, IL 60936

CLIA data matches this NPI record on: 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.

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.

RIKEE MARTINA FIELDS NP-C

Nurse Practitioner (Family)