NPIMap

Organization Active NPI

Washington County Hospital District

  • Family Medicine Physician
  • Nashville, IL
National Provider Identifier
1003424011
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WASHINGTON COUNTY HOSPITAL DISTRICT
Practice address
1245 S Mill St
Nashville, IL 62263-2004
Phone
(618) 327-2273
Fax
(618) 327-2664
NPI assigned
Jul 15, 2020
Organization subpart
Yes
Parent organization
WASHINGTON COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Wisniewski
Title
Business Office Manager
Phone
(618) 327-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1245 S Mill St
Nashville, IL 62263-2004

Mailing address

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236

Other names 1

  • Washington County Hospital Walk In Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Washington County Hospi4 organizations share this tax ID, including this one
Part of
Washington County Hospi

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1003424011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S GRAND ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622631534",
            "telephone_number": "618-327-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S MILL ST",
            "city": "NASHVILLE",
            "state": "IL",
            "postal_code": "622632004",
            "telephone_number": "618-327-2273",
            "fax_number": "618-327-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WASHINGTON COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "WISNIEWSKI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "618-327-2224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Hospital Walk In Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nashville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.