WABASH GENERAL HOSPITAL DISTRICT NPI 1194728808

NPI Information

NPI: 1194728808
Provider Name: WABASH GENERAL HOSPITAL DISTRICT
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1418 COLLEGE DR
MOUNT CARMEL, IL
ZIP 62863
Phone: (618) 262-8621
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WABASH GENERAL HOSPITAL DISTRICT is a critical access general acute care hospital in Mount Carmel, IL. WABASH GENERAL HOSPITAL DISTRICT NPI is 1194728808. The provider is registered as an organization entity type.

The provider's business location address is:

1418 COLLEGE DR
MOUNT CARMEL, IL
ZIP 62863-638
Phone: (618) 262-8621
Fax: (618) 263-6467

The provider's authorized official is Jasper Jay Purvis .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 262-8621.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	0002865	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112932	OTHER	ILLINOIS	HEALTHLINK
2	=========001	MEDICAID	ILLINOIS
3	001159	OTHER	ILLINOIS	HEALTH ALLIANCE
4	=========	OTHER	ILLINOIS	VA, CHAMPVA
5	N225891	OTHER	ILLINOIS	HARMONY HEALTH PLAN OF IN
6	0218	OTHER	ILLINOIS	BLUE CROSS
7	141327	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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