Active NPI
Wabash General Hospital District
- General Practice Physician
- Mount Carmel, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- WABASH GENERAL HOSPITAL DISTRICT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376013525401 | Medicaid | IL | |
| 0009300000 | Other | IL | BLUE SHIELD |
| 036113111 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| 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 |
Other NPIs with the same Medicare PAC ID 9
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Carmel, IL
- NPI 1013011618
8022908185
-
dba Wabash General Hospital Primary Care
- Rural Health Clinic/Center
- Mount Carmel, IL
- NPI 1114491875
8022908185
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
8022908185
-
dba Wabash General Convenient Care
- Rural Health Clinic/Center
- Mount Carmel, IL
- NPI 1528241023
8022908185
-
dba Wabash General Hospital Primary Care
- Rural Health Clinic/Center
- Mount Carmel, IL
- NPI 1578012084
8022908185
-
dba Wabash General Hospital Primary Care
- Rural Health Clinic/Center
- Mount Carmel, IL
- NPI 1588186308
8022908185
-
dba Albion Medical Clinic
- Rural Health Clinic/Center
- Albion, IL
- NPI 1689148892
8022908185
-
dba Wabash Community Healht Center Counseling
- Federally Qualified Health Center (FQHC)
- Mount Carmel, IL
- NPI 1922645910
8022908185
-
dba Grayville Medical Clinic
- Rural Health Clinic/Center
- Grayville, IL
- NPI 1942774153
8022908185
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Albion Medical Clinic
- Rural Health Clinic/Center
- Albion, IL
- NPI 1689148892
O20040319001265
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Wabash General Hospital-Dba-Convenient Care | 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.
-
dba Wabash General Convenient Care
- Rural Health Clinic/Center
- Mount Carmel, IL
- NPI 1528241023
5% Or Greater Direct Ownership Interest
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.
-
- Physician Assistant
- Mount Carmel, IL
- NPI 1295200319
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1194791996
-
- Podiatrist
- Rockford, IL
- NPI 1184144727
-
- Family Nurse Practitioner
- Olney, IL
- NPI 1316314933
-
- Social Worker
- Mount Carmel, IL
- NPI 1568101996
-
- Physical Therapist
- Mount Carmel, IL
- NPI 1336960657
-
- Physician Assistant
- Mount Carmel, IL
- NPI 1467689695
-
- Physician Assistant
- Mount Carmel, IL
- NPI 1932155041
-
- Surgical Physician Assistant
- Mount Carmel, IL
- NPI 1477441160
-
- Orthopaedic Surgery Physician
- Mount Carmel, IL
- NPI 1225023146
-
- Family Medicine Physician
- Fairfield, IL
- NPI 1447562269
-
- Certified Registered Nurse Anesthetist
- Mount Carmel, IL
- NPI 1720258551
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
- Wabash County Health Department
- Wabash General Hospital District
- Wabash General Hospital District (Wabash General Hospital Primary Care)
- Wabash General Hospital District
- Wabash General Hospital District
- Wabash General Hospital District (Wabash General Convenient Care)
- Wabash General Hospital District (Wabash General Hospital Primary Care)
- Wabash General Hospital District (Wabash General Hospital Primary Care)
- Wabash General Hospital District (Wabash Community Healht Center Counseling)
- Wabash General Hospital Primary Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.