WABASH COUNTY HEALTH DEPARTMENT (NPI# 1366615536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366615536 |
| Entity Type | Organization |
| Organization Name | WABASH COUNTY HEALTH DEPARTMENT |
| Practice Address |
130 W 7th Street Mount Carmel IL 62863-1439 |
| Mailing Address |
130 W 7th St Mount Carmel IL 62863-1439 |
| Practice Telephone | 6182633873 |
| Practice Fax Number | 6182624215 |
| Mailing Telephone | 6182633873 |
| Mailing Fax Number | 6182624215 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MS. CYNTHIA A BROWN (ADMINISTRATOR) |
| Authorized Official Telephone | 6182633873 |
| Authorized Official Credential | MS, LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | ========= | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 210000185002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906306 | Wabash County Health Department | Public Health or Welfare | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2005-07-18 |
| 1801895297 | Wabash County Health Department | Clinic/Center | 1001 North Market Street, Suite 101, Mount Carmel, IL 62863-1945 | 2005-07-18 |
| 1528446630 | Wabash County Health Department | Community/Behavioral Health | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2015-05-08 |
| 1720387855 | Wabash County Health Department | Community/Behavioral Health | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-03-15 |
| 1427174127 | Wabash County Health Department | Clinic/Center | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WABASH COUNTY HEALTH DEPARTMENT | 130 W 7th St, Mount Carmel, IL 62863-1439 |
| Street Address |
130 W 7TH STREET |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-1439 |
| 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 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| Find all providers in zip 62863 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871943241 | Rcaa Health Services, Inc. | Clinic/Center | 11603 State Route 61, Mount Carmel, PA 17851-2583 | 2016-06-16 |
| 1730335522 | Twilight Beginnings of Mt. Carmel | Clinic/Center | 35 West Ave, Mount Carmel, PA 17851-1303 | 2008-08-12 |
| 1427174127 | Wabash County Health Department | Clinic/Center | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CARMEL |
| Zip Code | 62863 |
Please comment or provide details below to improve the information on WABASH COUNTY HEALTH DEPARTMENT.
| 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.