WABASH GENERAL HOSPITAL DISTRICT (NPI# 1578012084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578012084 |
| Entity Type | Organization |
| Organization Name | WABASH GENERAL HOSPITAL DISTRICT |
| Practice Address |
1123 Chestnut St Mount Carmel IL 62863-1212 |
| Mailing Address |
1418 College Dr Mount Carmel IL 62863-2638 |
| Practice Telephone | 6182634376 |
| Practice Fax Number | 6182627970 |
| Mailing Telephone | 6182628621 |
| Mailing Fax Number | 6182636461 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. J J PURVIS (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6182628621 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
IL | Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 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 |
1123 CHESTNUT ST |
| City | MOUNT CARMEL |
| State | IL |
| Zip Code | 62863-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920756 | Narendra H Anadkat | Internal Medicine | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2005-08-30 |
| 1255814018 | Brooke Nicole Ile | Nurse Practitioner | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2018-09-07 |
| 1831509009 | Lauren Spencer Croft | Pediatrics | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2014-04-28 |
| 1063797314 | Diane Lynn Destefano | Nurse Practitioner | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2011-10-19 |
| 1932224508 | Narendra H Anadkat M D P C | Internal Medicine | 1123 Chestnut St, Mount Carmel, IL 62863-1212 | 2007-03-20 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| 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 |
| 1801895297 | Wabash County Health Department | Clinic/Center | 1001 North Market Street, Suite 101, Mount Carmel, IL 62863-1945 | 2005-07-18 |
| 1114491875 | Wabash General Hospital District | Clinic/Center | 1106 Oak St, Mount Carmel, IL 62863-2444 | 2019-01-16 |
| 1528241023 | Wabash General Hospital District | Clinic/Center | 1418 College Dr, Mount Carmel, IL 62863-2638 | 2007-12-07 |
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|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
| 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.