OrganizationActive
Gibson Community Hospital Association
NPI 1063462976 · Rural Health Clinic/Center · Forrest, IL
Provider details
- NPI number
- 1063462976
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Gibson Community Hospital Association
- Organization subpart
- Yes
- Authorized official
- Matthew Ertel, Chief Financial Officer(217) 784-2601
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
122 E Wabash Ave
Forrest, IL 61741-9369
Phone: (815) 657-8707
Fax: (815) 657-8717
Approximate (ZIP-level) locationGet directions
Mailing address
122 E Wabash Ave
Forrest, IL 61741-9369
Other names (DBA / former)
- Doing business as
- Prairie Family Medicine and Obstetrics
- Doing business as
- Prairie Family Medicine and Obstetrics
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2022-02-04
- Certified
- 2022-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.