WABASH GENERAL HOSPITAL DISTRICT (NPI# 1194814178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194814178 |
| 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 | 2006-10-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JASPER J PURVIS (CEO) |
| Authorized Official Telephone | 6182628621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 0002865 | IL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 0218 | 01 |
| IL | HEALTHLINK | 112932 | 01 |
| IL | HEALTH ALLIANCE | 001159 | 01 |
| IL | HARMONY HEALTH PLAN IN | N225891 | 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 |
| 1295834208 | Wabash General Hospital District | General Acute Care Hospital | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2006-09-22 |
| 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1750980058 | Ivan V Knight | Ambulance | 322 Campbell Ave, Calumet City, IL 60409-2011 | 2020-10-19 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1821624966 | Covenant Health Ambulance Service, Inc | Ambulance | 1619b Weid Rd, Elgin, IL 60123-5825 | 2020-03-20 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1831668458 | Midway Ems | Ambulance | 5155 Torque Rd # B, Loves Park, IL 61111-7144 | 2018-11-14 |
| 1336637248 | Paramedic Services of Illinois, Inc. | Ambulance | 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 | 2018-04-26 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1891293288 | Hamel Fire Protection District | Ambulance | 401 N Old Us Route 66, Hamel, IL 62046-1071 | 2018-01-31 |
| 1144761503 | Ah, LLC | Ambulance | 741 N Main St, Manteno, IL 60950-1254 | 2017-03-17 |
| 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.