Provider Demographics
NPI:1093300188
Name:GIBSON GENERAL HOSPITAL, INC
Entity Type:Organization
Organization Name:GIBSON GENERAL HOSPITAL, INC
Other - Org Name:DEACONESS GIBSON GASTRO GATEWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-385-9237
Mailing Address - Street 1:PO BOX 1197
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47706-1197
Mailing Address - Country:US
Mailing Address - Phone:812-842-2701
Mailing Address - Fax:812-842-2717
Practice Address - Street 1:4219 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-7925
Practice Address - Country:US
Practice Address - Phone:812-842-2701
Practice Address - Fax:812-842-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty