GIBSON GENERAL HOSPITAL INC. (NPI# 1356975569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356975569 |
| Entity Type | Organization |
| Organization Name | GIBSON GENERAL HOSPITAL INC. |
| Practice Address |
1808 Sherman Dr Princeton IN 47670-1043 |
| Practice Telephone | 8123853401 |
| Mailing Telephone | 8123859401 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | LOIS MORGAN (CNO) |
| Authorized Official Telephone | 8123859237 |
| Is Organization Subpart | Y |
| Parent Organization Name | GIBSON GENERAL HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346007 | Gibson General Hospital Inc. | General Acute Care Hospital | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2005-12-07 |
| Street Address |
1808 SHERMAN DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718363 | Rameshbhai P Patel | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2005-05-31 |
| 1447862958 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1982216495 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1487294468 | Mary Elizabeth Garner | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1952941809 | Becky Elizabeth Walk | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2020-01-08 |
| 1972143899 | Katherine M Klump | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1194381327 | Hillary Goodman | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2019-05-13 |
| 1700341872 | Mid West Hospital Physicians, Pllc | Hospitalist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-02-04 |
| 1457816514 | Great Lakes Emergency Physicians, Pllc | Emergency Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-02-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.