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Wabash General Hospital District

Organization Active NPI Critical Access Hospital · Mount Carmel, IL

NPI 1194728808 · NPPES record last updated Apr 3, 2025

Key facts

NPI
1194728808
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
0002865 (IL)
Legal business name
WABASH GENERAL HOSPITAL DISTRICT
Practice address
1418 College Dr
Mount Carmel, IL 62863-2638
Phone
(618) 262-8621
Fax
(618) 263-6467
NPI assigned
May 27, 2005
Organization subpart
No

Authorized official

Name
Ms. Karissa Turner
Title
Chief Executive Officer
Phone
(618) 262-8621

Owned or controlled facilities with NPI records 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

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

Corporate family (same tax ID) 9

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

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

Practitioners 105

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

View all 105

Affiliated clinicians 156

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

View all 156

Medicare Care Compare: Hospital

Listed as
Wabash General Hospital 1 CCN 141327
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Hospital certification: CCN 141327

Legal name
WABASH GENERAL HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2003
Last certification
Jun 1, 2003
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
Corporation · Non-profit
Incorporated
Jul 15, 1949 in IL
Enrollment address
1418 College Dr
Mount Carmel, IL 62863-2638
Main/Primary Hospital Location

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 Director
Board Member		 Jan 1, 2015
Janet L Storey
Individual 		Corporate Director
Board Member		 Jan 1, 1989
Lynn Leek
Individual 		Contracted Managing Employee
Ceo		 Oct 1, 2019
William Easton
Individual 		Corporate Director
Board Member		 Oct 1, 2010
Doug McPherson
Individual 		Corporate Director
Board Member		 Jan 1, 2015
John a Evans
Individual 		Corporate Director
Board Member		 Feb 1, 2009
Robert J Coleman
Individual 		Corporate Director
Board Member		 Jan 1, 1995
Tara Gould
Individual 		W-2 Managing Employee
Director of Nursing		 Nov 5, 2007
Nathan Stevenson
Individual 		Corporate Director
Board 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 Care
Mount Carmel, IL · CCN 148501		 Rural health clinic 5% Or Greater Direct Ownership Interest Nov 4, 2002

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080507000275 IL Part a Provider - Critical Access Hospital 8022908185 Receives reassigned benefits from 74 practitioners
1 other NPI on this enrollment
Practice locations: Carmi, IL; Fairfield, IL; Lawrenceville, IL; Mount Carmel, IL

National Provider Directory

Tax ID family
Wabash General Hospital (10 organizations share this tax ID)

Locations

1418 College Dr
Ste C
Mount Carmel, IL 62863

2200 College Dr
Mount Carmel, IL 62863

1418 College Dr
Ste B
Mount Carmel, IL 62863

1418 College Dr
Ste A
Mount Carmel, IL 62863

1001 N Market St
Ste 201
Mount Carmel, IL 62863

1106 Oak St
Mount Carmel, IL 62863
Phone (618) 263-6575

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0002865 IL Yes

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

Other identifiers

IdentifierTypeStateIssuer
0218OtherILBLUE CROSS
N225891OtherILHARMONY HEALTH PLAN OF IN
001159OtherILHEALTH ALLIANCE
112932OtherILHEALTHLINK
133822600OtherILDEPARTMENT OF LABOR
030432100OtherILBLACK LUNG
100276170AMedicaidIN

Other providers in Mount Carmel, IL

All providers in Mount Carmel, IL · Critical Access Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.