OrganizationActive
Gibson Community Hospital Association
NPI 1548544679 · Family Medicine Physician · Fairbury, IL
Provider details
- NPI number
- 1548544679
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Ertel, Cfo(217) 784-2600
- License
- 0000836 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
221 Wal Crest Dr
Fairbury, IL 61739-8998
Phone: (815) 692-1150
Fax: (815) 692-1153
Approximate (ZIP-level) locationGet directions
Mailing address
221 Wal Crest Dr
Fairbury, IL 61739-8998
Other names (DBA / former)
- Doing business as
- Family Healthcare of Fairbury
- Doing business as
- Family Healthcare of Fairbury
Registry dates
- Enumerated
- 2011-10-07
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.