Organization Active NPI

Wabash County Hospital, Inc.

  • Anesthesiology Physician
  • Wabash, IN
National Provider Identifier
1114947553
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WABASH COUNTY HOSPITAL, INC.
Practice address
710 N East St
Wabash, IN 46992-1914
Phone
(260) 563-3131
Fax
(260) 569-2830
NPI assigned
Jul 20, 2006
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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 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) 563-3131

Other identifiers 1

IdentifierTypeStateIssuer
100270190MedicaidIN

Other names 1

  • WCH Anesthesiology Group Doing business as

National Provider Directory

National Provider Directory

Locations

710 N East St
Ste C
Wabash, IN 46992
Phone (219) 569-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1114947553",
    "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": "260-563-3131",
            "fax_number": "260-569-2830"
        },
        {
            "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": "260-563-3131",
            "fax_number": "260-569-2830"
        }
    ],
    "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": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCH Anesthesiology Group",
            "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.