Provider Demographics
NPI:1316386113
Name:GIBSON FURNITURE INC
Entity Type:Organization
Organization Name:GIBSON FURNITURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-869-4218
Mailing Address - Street 1:407 N OLD US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:IN
Mailing Address - Zip Code:47921-8512
Mailing Address - Country:US
Mailing Address - Phone:765-869-4218
Mailing Address - Fax:765-869-4450
Practice Address - Street 1:407 N OLD US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:BOSWELL
Practice Address - State:IN
Practice Address - Zip Code:47921-8512
Practice Address - Country:US
Practice Address - Phone:765-869-4218
Practice Address - Fax:765-869-4450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment