WABASH COUNTY HEALTH DEPARTMENT (NPI# 1528446630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528446630 |
| Entity Type | Organization |
| Organization Name | WABASH COUNTY HEALTH DEPARTMENT |
| Practice Address |
1001 N Market St Suite 101 Mount Carmel IL 62863-1945 |
| Practice Telephone | 6182634970 |
| Practice Fax Number | 6182634837 |
| Mailing Telephone | 6182634970 |
| Mailing Fax Number | 6182634837 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |
| Authorized Official Name | MRS. CYNTHIA POLAND (ADMINISTRATOR) |
| Authorized Official Telephone | 6182633873 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366615536 | Wabash County Health Department | Clinic/Center | 130 W 7th Street, Mount Carmel, IL 62863-1439 | 2008-04-09 |
| 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 |
| 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 |
1001 N MARKET ST SUITE 101 |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477535490 | Lynn Carol Phillippe | Nurse Practitioner | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2005-11-16 |
| 1225642770 | Leann Zollars | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2020-09-02 |
| 1922645910 | Wabash General Hospital District | Clinic/Center | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2019-12-09 |
| 1710351457 | Ronda Hockgeiger | Social Worker | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2015-11-18 |
| 1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
| 1790061638 | Andrea S. Cruse | Social Worker | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2011-10-24 |
| 1508174715 | Nicole L Myers | Counselor | 1001 N Market St, Mount Carmel, IL 62863-1945 | 2010-09-22 |
| 1518154541 | Danielle Peach | Social Worker | 1001 N Market St, Suite 101, Mount Carmel, IL 62863-1945 | 2007-10-03 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720387855 | Wabash County Health Department | Community/Behavioral Health | 130 W 7th St, Mount Carmel, IL 62863-1439 | 2011-03-15 |
| 1063720407 | Judith Kriskie | Community/Behavioral Health | 129 E 5th St, Mount Carmel, PA 17851-2175 | 2010-09-20 |
| 1477722924 | S E Illinois Counseling Ctrs Inc | Community/Behavioral Health | 602 E 5th St, Mount Carmel, IL 62863-2152 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
| 1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
| 1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
| 1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
| 1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
| 1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
| 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.