Wabash General Hospital District
Organization Active NPI General Practice Physician · Mount Carmel, IL
NPI 1295834208 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1295834208
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 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
- Organization subpart
- Yes
- Parent organization (as reported)
- WABASH GENERAL HOSPITAL DISTRICT
Authorized official
- Name
- Ms. Karissa L Turner
- Title
- Ceo
- Phone
- (618) 262-8621
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 9
Practitioners 118
-
Beth Marie Agan, PA-C
-
Jason Mathias Ambrose, CRNA
-
Joshua A Baumberger, CRNA
-
Donald C Bisby, DPM
-
Marlissa Boyles, FNP
-
Dana Nanette Brewster, MSW, LCSW
-
Michael Patrick Cheesman, PA-C
-
Julia Corwin, MS, PA-C; MS, ATC
-
Julko E Fullop, M.D.
-
Nicole Fyie, M.D.
-
Casey Joe Griffith, CRNA
-
Sydney Hadley, DO
-
Paige Emilee Hocking, PA-C
-
Casey J Ikemire, MSN, APRN, FNP-BC
-
Siddharth B Jani, M.D.
-
Kaitlyn Ann Johnson, FNP-C
-
Srinath Kamineni, MD
-
John Logan Keepes, PMHNP-BC
-
Alicia Kinsolving, PA-C
-
Reid A Kocher, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Wabash General Hospital-Dba-Convenient Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Nov 4, 2002 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Wabash General Hospital
Locations
1418 College Dr
Mount Carmel, IL 62863
Phone (618) 262-8621
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| Critical Access Hospital | 282NC0060X | 0002865 | IL |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113111 | Medicaid | IL | |
| 376013525401 | Medicaid | IL | |
| 0009300000 | Other | IL | BLUE SHIELD |
Other providers in Mount Carmel, IL
- Wabash County Health Department
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital Primary Care
All providers in Mount Carmel, IL · General Practice Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.