NPIMap

Organization Active NPI

Wabash County Health Department

  • Public Health or Welfare Agency
  • Mount Carmel, IL
National Provider Identifier
1912906306
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WABASH COUNTY HEALTH DEPARTMENT
Practice address
130 W 7TH St
Mount Carmel, IL 62863-1439
Phone
(618) 263-3873
Fax
(618) 262-4215
NPI assigned
Jul 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Ms. Judy L Wissel, LPCPNPI 1023276060
Title
Agency Administrator
Phone
(618) 263-3873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111012000419 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7810975448 Practice locations: Mount Carmel, IL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1912906306",
    "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 ST",
            "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": "2005-07-18",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "WISSEL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "618-263-3873",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.