| Wabash General Convenient Care | |
|
1418 College Dr Mount Carmel IL 62863-2638 | |
| (618) 262-8621 | |
| Not Available |
| Full Name | Wabash General Convenient Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1418 College Dr, Mount Carmel, Illinois |
| Authorized Official Name and Position | Jasper J Purvis (CEO) |
| Authorized Official Contact | 6182628621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wabash General Convenient Care 1418 College Dr Mount Carmel IL 62863-2638 Ph: (618) 262-8621 | Wabash General Convenient Care 1418 College Dr Mount Carmel IL 62863-2638 Ph: (618) 262-8621 |
| NPI Number | 1528241023 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 12/07/2007 |
| Medicare PECOS PAC ID | 8022908185 |
|---|---|
| Medicare Enrollment ID | O20060504000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528241023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0002865 (Illinois) | Primary |
Wabash General Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Jaquess Ave, Mount Carmel, IL 62863 Phone: 618-263-4376 Fax: 618-262-2281 | |
Wabash General Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1106 Oak St, Mount Carmel, IL 62863 Phone: 618-263-6575 | |
Wabash County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W 7th Street, Mount Carmel, IL 62863 Phone: 618-263-3873 Fax: 618-262-4215 | |
Wabash County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W 7th St, Mount Carmel, IL 62863 Phone: 618-263-3873 Fax: 618-262-4215 | |
Wabash General Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 Chestnut St, Mount Carmel, IL 62863 Phone: 618-263-4376 Fax: 618-262-7970 | |
Wabash General Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1430 College Dr Ste A, Mount Carmel, IL 62863 Phone: 618-262-5113 Fax: 618-262-5113 |