Organization Active NPI

Wabash County Health Department

  • Clinic/Center
  • Mount Carmel, IL
National Provider Identifier
1366615536
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WABASH COUNTY HEALTH DEPARTMENT
Practice address
130 W 7TH Street
Mount Carmel, IL 62863-1439
Phone
(618) 263-3873
Fax
(618) 262-4215
NPI assigned
Apr 9, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Cynthia A Brown, MS, LCPC
Title
Administrator
Phone
(618) 263-3873

National Provider Directory

National Provider Directory
Tax ID family
Wabash County Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

130 W 7TH Street
Mount Carmel, IL 62863-1439

Mailing address

130 W 7TH St
Mount Carmel, IL 62863-1439
Phone (618) 263-3873

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
210000185002MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366615536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 7TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631439",
            "telephone_number": "618-263-3873",
            "fax_number": "618-262-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 7TH STREET",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631439",
            "telephone_number": "618-263-3873",
            "fax_number": "618-262-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-263-3873",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210000185002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.