NPIMap

Organization Active NPI

Wabash County Hospital, Inc.

Doing business as Wabash Gynecology Clinic

  • Gynecology Physician
  • Wabash, IN
National Provider Identifier
1053331496
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WABASH COUNTY HOSPITAL, INC.
Doing business as
Wabash Gynecology Clinic
Practice address
710 N East St
Wabash, IN 46992-1914
Phone
(260) 569-2901
Fax
(260) 569-2241
NPI assigned
Jul 20, 2006
Last updated
Oct 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Jane M Bissel
Title
Chief Financial Officer
Phone
(260) 569-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

710 N East St
Wabash, IN 46992-1914

Mailing address

710 N East St
P.O. Box 548
Wabash, IN 46992-1914
Phone (260) 569-2901

Other identifiers 1

IdentifierTypeStateIssuer
100270190MedicaidIN

Other names 1

  • Wabash Gynecology Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1053331496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EAST ST",
            "address_2": "P.O. BOX 548",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921914",
            "telephone_number": "260-569-2901",
            "fax_number": "260-569-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EAST ST",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921914",
            "telephone_number": "260-569-2901",
            "fax_number": "260-569-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "BISSEL",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "260-569-2247"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Gynecology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.