| Wabash General Hospital District | |
|
610 N Court St Grayville IL 62844-1002 | |
| (618) 375-7101 | |
| (618) 375-7183 |
| Full Name | Wabash General Hospital District |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 N Court St, Grayville, Illinois |
| Authorized Official Name and Position | Karissa Lynn Turner (CEO) |
| Authorized Official Contact | 6182636300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wabash General Hospital District 1418 College Dr Mount Carmel IL 62863-2638 Ph: (618) 262-8621 | Wabash General Hospital District 610 N Court St Grayville IL 62844-1002 Ph: (618) 375-7101 |
| NPI Number | 1942774153 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 8022908185 |
|---|---|
| Medicare Enrollment ID | O20190220001710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942774153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ketan C. Vyas, M.d., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Court St, Grayville, IL 62844 Phone: 618-375-7101 Fax: 618-375-7183 |