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WABASH GENERAL HOSPITAL DISTRICT NPI 1295834208


NPI Information

NPI: 1295834208
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 1295834208. 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

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

The enumeration date for this NPI number is 9/22/2006 and was last updated on 9/12/2007.


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
1282NC0060XGeneral Acute Care HospitalCritical Access0002865ILLINOISYes

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
10009300000OTHERILLINOISBLUE SHIELD
2I32037MEDICARE UPIN
3797870MEDICARE ID-TYPE UNSPECIFIEDILLINOISJULKO FULLOP
4376013525401MEDICAIDILLINOIS
5E02611MEDICARE UPIN
6405420MEDICARE ID-TYPE UNSPECIFIEDILLINOISWILLIAM HARDY

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
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