Gibson Community Hospital Association
NPI 1063462976 · Rural Health Clinic/Center · Forrest, IL
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gibson Community Hospital Association is a Rural Health Clinic/Center organization in Forrest, IL (NPI 1063462976).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Gibson Community Hospital Association's NPI number?
- Gibson Community Hospital Association's National Provider Identifier (NPI) is 1063462976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gibson Community Hospital Association?
- Gibson Community Hospital Association is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gibson Community Hospital Association located?
- Gibson Community Hospital Association's practice location on file with NPPES is 122 E Wabash Ave, Forrest, IL 61741-9369.
- What is Gibson Community Hospital Association's phone number?
- The practice phone number listed in the NPPES registry for Gibson Community Hospital Association is (815) 657-8707.
- Does Gibson Community Hospital Association accept Medicare?
- Gibson Community Hospital Association is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gibson Community Hospital Association?
- The authorized official listed on Gibson Community Hospital Association's NPPES record is Matthew Ertel, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gibson Community Hospital Association's NPI active?
- Yes — Gibson Community Hospital Association's NPI (1063462976) is active in the NPPES registry as of the last update on 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.