Wabash General Hospital District | |
1123 Chestnut St Mount Carmel IL 62863-1212 | |
(618) 263-4376 | |
(618) 262-7970 |
Full Name | Wabash General Hospital District |
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Speciality | Clinic/Center |
Location | 1123 Chestnut St, Mount Carmel, Illinois |
Authorized Official Name and Position | J J Purvis (PRESIDENT AND CEO) |
Authorized Official Contact | 6182628621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wabash General Hospital District 1418 College Dr Mount Carmel IL 62863-2638 Ph: (618) 262-8621 | Wabash General Hospital District 1123 Chestnut St Mount Carmel IL 62863-1212 Ph: (618) 263-4376 |
NPI Number | 1578012084 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 11/22/2016 |
Medicare PECOS PAC ID | 8022908185 |
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Medicare Enrollment ID | O20161201001886 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578012084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (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 Convenient Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1418 College Dr, Mount Carmel, IL 62863 Phone: 618-262-8621 | |
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 |