Organization Active NPI

Wabash General Hospital District

  • General Practice Physician
  • Mount Carmel, IL
National Provider Identifier
1295834208
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WABASH GENERAL HOSPITAL DISTRICT
Practice address
1418 College Dr
Mount Carmel, IL 62863-2638
Phone
(618) 262-8621
NPI assigned
Sep 22, 2006
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WABASH GENERAL HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0002865 IL
General Practice Physician 208D00000X 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

Other practice location 1

929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 508-8020

Other practice location 2

504 Micah Dr
Olney, IL 62450-4720
Phone (618) 388-3128

Other practice location 3

11362 Country Club Rd
Lawrenceville, IL 62439-4325
Phone (618) 707-4360

Other practice location 4

1112 Oak St
Carmi, IL 62821-1344
Phone (618) 382-2222

Other practice location 5

1527 College Dr
Mount Carmel, IL 62863-2615
Phone (618) 263-6400

Other identifiers 3

IdentifierTypeStateIssuer
376013525401MedicaidIL
0009300000OtherILBLUE SHIELD
036113111MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001265 IL Part B Supplier - Clinic/Group Practice 8022908185 Receives reassigned benefits from 115 practitioners
1 other NPI on this enrollment
Practice locations: Olney, IL; Mount Carmel, IL; Lawrenceville, IL; Flora, IL; Fairfield, IL; Carmi, IL; Albion, IL; Grayville, IL

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Wabash General Hospital

Locations

929 Stacey Burk Dr
Flora, IL 62839

Ownership & related parties

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

Practitioners 116

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1295834208",
    "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": [
        {
            "address_1": "929 Stacey Burk Dr",
            "address_purpose": "LOCATION",
            "city": "Flora",
            "state": "IL",
            "postal_code": "628393241",
            "country_code": "US",
            "telephone_number": "618-508-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Micah Dr",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "IL",
            "postal_code": "624504720",
            "country_code": "US",
            "telephone_number": "618-388-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11362 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "IL",
            "postal_code": "624394325",
            "country_code": "US",
            "telephone_number": "618-707-4360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Oak St",
            "address_purpose": "LOCATION",
            "city": "Carmi",
            "state": "IL",
            "postal_code": "628211344",
            "country_code": "US",
            "telephone_number": "618-382-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1527 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632615",
            "country_code": "US",
            "telephone_number": "618-263-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WABASH GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WABASH GENERAL HOSPITAL DISTRICT",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-262-8621",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0002865",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376013525401",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0009300000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

Verify at the official NPI Registry.