NPIMap

Organization Active NPI

Wabash County Hospital, Inc.

  • Surgery Physician
  • Wabash, IN
National Provider Identifier
1295760809
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WABASH COUNTY HOSPITAL, INC.
Practice address
400 Ash St Ste a
Wabash, IN 46992-1901
Phone
(260) 569-2321
Fax
(260) 569-2918
NPI assigned
Jul 11, 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
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

400 Ash St Ste a
Wabash, IN 46992-1901

Mailing address

400 Ash St Ste a
P.O. Box 546
Wabash, IN 46992-1901
Phone (260) 569-2321

Other identifiers 1

IdentifierTypeStateIssuer
100270190MedicaidIN

Other names 1

  • Wabash Surgery 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": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1295760809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASH ST STE A",
            "address_2": "P.O. BOX 546",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921901",
            "telephone_number": "260-569-2321",
            "fax_number": "260-569-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASH ST STE A",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921901",
            "telephone_number": "260-569-2321",
            "fax_number": "260-569-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "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": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Surgery 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.