Organization Active NPI

Wabash County Hospital, Inc.

Doing business as Family Physicians Associated

  • Family Medicine Physician
  • Wabash, IN
National Provider Identifier
1730494840
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WABASH COUNTY HOSPITAL, INC.
Doing business as
Family Physicians Associated
Practice address
1025 Manchester Ave
Wabash, IN 46992-1425
Phone
(260) 563-7421
Fax
(260) 563-7725
NPI assigned
Aug 12, 2010
Last updated
Oct 14, 2011By the provider in NPPES
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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1025 Manchester Ave
Wabash, IN 46992-1425

Mailing address

1025 Manchester Ave
Wabash, IN 46992-1425
Phone (260) 563-7421

Other identifiers 1

IdentifierTypeStateIssuer
100270190MedicaidIN

Other names 1

  • Family Physicians Associated Doing business as

National Provider Directory

National Provider Directory

Locations

1025 Manchester Ave
Wabash, IN 46992
Phone (219) 563-7421

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1730494840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921425",
            "telephone_number": "260-563-7421",
            "fax_number": "260-563-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921425",
            "telephone_number": "260-563-7421",
            "fax_number": "260-563-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH COUNTY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Physicians Associated",
            "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.