WABASH GENERAL HOSPITAL DISTRICT (NPI# 1295834208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295834208 |
| Entity Type | Organization |
| Organization Name | WABASH GENERAL HOSPITAL DISTRICT |
| Practice Address |
1418 College Dr Mount Carmel IL 62863-2638 |
| Practice Telephone | 6182628621 |
| Mailing Telephone | 6182628621 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-09-12 |
| Authorized Official Name | MR. JASPER J PURVIS (CEO) |
| Authorized Official Telephone | 6182628621 |
| Is Organization Subpart | Y |
| Parent Organization Name | WABASH GENERAL HOSPITAL DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0002865 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 376013525401 | 05 | |
| IL | BLUE SHIELD | 0009300000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| 1194728808 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2005-05-27 |
| 1922645910 | Wabash General Hospital District | Clinic/Center | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2019-12-09 |
| 1053958363 | Wabash General Hospital District | Clinic/Center | 120 Jaquess Ave, Mount Carmel, IL 62863-1211 | 2019-12-05 |
| 1942774153 | Wabash General Hospital District | Clinic/Center | 610 N Court St, Grayville, IL 62844-1002 | 2019-01-22 |
| 1689148892 | Wabash General Hospital District | Clinic/Center | 26 E Elm St, Albion, IL 62806-1211 | 2019-01-22 |
| 1114491875 | Wabash General Hospital District | Clinic/Center | 1106 Oak St, Mount Carmel, IL 62863-2444 | 2019-01-16 |
| 1578012084 | Wabash General Hospital District | Clinic/Center | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2016-09-26 |
| 1528241023 | Wabash General Hospital District | Clinic/Center | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2007-12-07 |
| 1194814178 | Wabash General Hospital District | Ambulance | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WABASH GENERAL HOSPITAL DISTRICT | 1418 College Dr, Mount Carmel, IL 62863-2638 |
| Street Address |
1418 COLLEGE DR |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728808 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2005-05-27 |
| 1871110213 | Sabrina Waldroup | Nurse Practitioner | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-07-01 |
| 1326664228 | Rachel Lynn Metz | Physician Assistant | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2020-06-17 |
| 1295395341 | Commonwealth Pain Associates, Pllc | Durable Medical Equipment & Medical Supplies | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2019-06-19 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| 1396135885 | Christopher Slane | Nurse Anesthetist, Certified Registered | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2015-02-04 |
| 1487063723 | Samuel Hodges | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-12 |
| 1376952721 | Adrian Jonel Ola | Specialist/Technologist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2014-08-11 |
| 1619229986 | Jill Marie Wilkinson | Physical Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-10 |
| 1447502182 | Dana Elaine Hawkins | Occupational Therapist | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2012-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1740488139 | Wabash Area Vocational Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1420 West Third Street, Mt. Carmel, IL 62863 | 2007-07-06 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
| Find all providers in zip 62863 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728808 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846353 | Express Care, LLC | General Acute Care Hospital | 11 E Adams St Ste 1100, Chicago, IL 60603-6315 | 2020-06-23 |
| 1508152745 | Medical Connections | General Acute Care Hospital | 25749 Sunnymere Dr, Plainfield, IL 60585-1290 | 2011-06-27 |
| 1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
| 1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
| 1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
| 1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
| 1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
| 1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
| 1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
| 1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.