Provider Demographics
NPI:1477953321
Name:GIBSON GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:GIBSON GENERAL HOSPITAL INC
Other - Org Name:DEACONESS GIBSON MAIN STREET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, CNO
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:812-386-7001
Mailing Address - Fax:812-386-3952
Practice Address - Street 1:510 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670
Practice Address - Country:US
Practice Address - Phone:812-386-7001
Practice Address - Fax:812-386-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-28
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty