Provider Demographics
NPI:1598833246
Name:GIBSON COUNTY COUNCIL ON AGING, INC.
Entity Type:Organization
Organization Name:GIBSON COUNTY COUNCIL ON AGING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, BOARD OF DIRECTORS
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:R
Authorized Official - Last Name:REHNQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-385-2897
Mailing Address - Street 1:212 S RICHLAND CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-9569
Mailing Address - Country:US
Mailing Address - Phone:812-385-2897
Mailing Address - Fax:812-386-7116
Practice Address - Street 1:212 S RICHLAND CREEK DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-9569
Practice Address - Country:US
Practice Address - Phone:812-385-2897
Practice Address - Fax:812-386-7116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)