NPIMap

Organization Active NPI

Parkview Wabash Hospital, Inc.

Doing business as North Manchester RHC

  • Rural Health Clinic/Center
  • North Manchester, IN
National Provider Identifier
1922515907
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PARKVIEW WABASH HOSPITAL, INC.
Doing business as
North Manchester RHC
Practice address
1104 N Wayne St
North Manchester, IN 46962-1001
Phone
(260) 982-2102
NPI assigned
Dec 29, 2017
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKVIEW WABASH HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Mrs. Jessica Lee-Hansen
Title
Cfo
Phone
(312) 388-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1104 N Wayne St
North Manchester, IN 46962-1001

Mailing address

1104 N Wayne St
North Manchester, IN 46962-1001
Phone (260) 982-2102

Other names 1

  • North Manchester RHC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190110002044 IN Part A Provider - Rural Health Clinic 0244553360 Practice locations: North Manchester, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922515907. Details of each certification follow.

Rural health clinic certification: CCN 158541

Legal name
PARKVIEW WABASH HOSPITAL INC
Doing business as
PARKVIEW WABASH HEALTH CLINIC - NORTH MANCHESTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 5, 2019
Last certification
Jun 5, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
1104 N Wayne St
North Manchester, IN 46962-1001
Related CCNs
151310

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D0358909Parkview Wabash Health Clinic North1104 N Wayne Street, North Manchester, IN 46962Certificate of waiverDec 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Parkview Wabash Hospital Inc5 organizations share this tax ID, including this one
Part of
Parkview Wabash Hospital Inc

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas Hilton Sparks Individual Corporate Officer Jan 1, 2025
Parkview Wabash Hospital Inc Organization, Wabash, IN Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2018 100%
Operational/Managerial Control Jan 1, 2018
David Pyle Individual Corporate OfficerBoard Member Jan 1, 2026
David Scheblo Individual Corporate Officer Jan 1, 2025
William a Rauh Individual Corporate Officer Jan 1, 2025
Benjamin Vanderpool Individual Corporate Officer Jan 1, 2025
Jessica Lee-Hansen Individual Corporate OfficerCfo Jan 1, 2026
Corporate DirectorCfo Jan 1, 2026
W-2 Managing EmployeeCfo Aug 3, 2025
Andy Bain Individual Corporate Officer Jan 1, 2025
Rick Henvey Individual W-2 Managing EmployeeCeo Dec 31, 2006
Debra a Potempa Individual W-2 Managing Employee Apr 17, 2022
Nathan Fansher Individual Corporate OfficerBoard Member Jan 1, 2026
Amanda Lopez Individual Corporate Officer Jan 1, 2025
Amber Lewis Individual Corporate OfficerBoard Member Jan 1, 2026
Sam McFadden Individual Corporate Officer Jan 1, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parkview Wabash Health Clinic - Kissinger DriveWabash, IN, CCN 158542 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2018
Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1922515907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N WAYNE ST",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469621001",
            "telephone_number": "260-982-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N WAYNE ST",
            "city": "NORTH MANCHESTER",
            "state": "IN",
            "postal_code": "469621001",
            "telephone_number": "260-982-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW WABASH HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW WABASH HOSPITAL, INC.",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "LEE-HANSEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-388-0125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Manchester RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Manchester, IN

Sources for this page

Verify at the official NPI Registry.