Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gibson Community Hospital Association

Organization Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1659010445

Gibson Community Hospital Association is an Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Gibson City, Illinois. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1120 N Melvin St
Gibson City, IL 60936-1477
Phone: (217) 784-2212
Fax: (217) 784-2572
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X

Record details

NPI number1659010445
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGibson Community Hospital Association
Authorized official Matthew Ertel — Cfo · (217) 784-2601
Other names Gibson Area Hospital Urogynecology Clinic; Gibson Area Hospital Urogynecology Clinic
NPI enumeratedJune 1, 2022
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address1120 N Melvin St, Gibson City, IL 60936-1477