NPIMap

Organization Active NPI

Wabash General Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Carmel, IL
National Provider Identifier
1013011618
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0002865 Issued in IL
Legal business name
WABASH GENERAL HOSPITAL DISTRICT
Practice address
1418 College Dr
Mount Carmel, IL 62863-2638
Phone
(618) 262-8621
NPI assigned
Sep 12, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Ms. Karissa Turner
Title
Ceo
Phone
(618) 262-8621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0002865 IL Primary

Addresses

Primary practice location

1418 College Dr
Mount Carmel, IL 62863-2638

Mailing address

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080507000392 IL Part A Provider - Critical Access Hospital 8022908185 Practice locations: Mount Carmel, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013011618. Details of each certification follow.

Hospital certification: CCN 14Z327

Legal name
WABASH GENERAL HOSPITAL DISTRICT
Organization structure
CorporationNon-profit
Incorporated
Jul 15, 1949 in IL
Enrollment address
1418 College Dr
Mount Carmel, IL 62863-2638
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Wabash General Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karissa L Turner Individual Corporate Officer Jan 1, 2019
Toni L Brines Individual Corporate DirectorBoard Member Jan 1, 2015
Janet L Storey Individual Corporate DirectorBoard Member Jan 1, 1989
Lynn Leek Individual Contracted Managing EmployeeCeo Oct 1, 2019
William Easton Individual Corporate DirectorBoard Member Oct 1, 2010
Doug McPherson Individual Corporate DirectorBoard Member Jan 1, 2015
John a Evans Individual Corporate DirectorBoard Member Feb 1, 2009
Robert J Coleman Individual Corporate DirectorBoard Member Jan 1, 1995
Tara Gould Individual W-2 Managing EmployeeDirector of Nursing Nov 5, 2007
Nathan Stevenson Individual Corporate DirectorBoard Member Jan 1, 2015

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wabash General Hospital-Dba-Convenient CareMount Carmel, IL, CCN 148501 Rural health clinic 5% Or Greater Direct Ownership Interest Nov 4, 2002

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1013011618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-262-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-262-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-262-8621",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "IL",
            "license": "0002865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

Verify at the official NPI Registry.