NPIMap

Organization Active NPI

Wabash General Hospital District

Doing business as Wabash Community Healht Center Counseling

  • Federally Qualified Health Center (FQHC)
  • Mount Carmel, IL
National Provider Identifier
1922645910
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WABASH GENERAL HOSPITAL DISTRICT
Doing business as
Wabash Community Healht Center Counseling
Wabash Community Health Center
Practice address
1123 Chestnut St
Mount Carmel, IL 62863-1212
Phone
(618) 263-9363
NPI assigned
Dec 9, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Ms. Karissa Turner
Title
Ceo
Phone
(618) 262-8621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1123 Chestnut St
Mount Carmel, IL 62863-1212

Mailing address

1418 College Dr
Mount Carmel, IL 62863-2638
Phone (618) 262-8621

Other names 2

  • Wabash Community Healht Center Counseling Doing business as
  • Wabash Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210915000120 IL Part A Provider - Federally Qualified Health Center (FQHC) 8022908185 Practice locations: Mount Carmel, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922645910. Details of each certification follow.

Federally qualified health center certification: CCN 781980

Legal name
WABASH GENERAL HOSPITAL DISTRICT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 26, 2021
Last certification
Jul 26, 2021
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 15, 1949 in IL
Enrollment address
1123 Chestnut St
Mount Carmel, IL 62863-1212

Other NPIs with the same Medicare PAC ID 9

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
14D2188159Wabash Community Health Center1123 Chestnut St, Mount Carmel, IL 62863Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Wabash Gen Hosp District11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

26 E Elm St
Albion, IL 62806
Phone (618) 445-8170

216 College Blvd
Carmi, IL 62821
Phone (618) 382-4644

1001 N Market St
Ste 204
Mount Carmel, IL 62863
Phone (618) 263-4970

120 Jaquess Ave
Mount Carmel, IL 62863
Phone (618) 262-2390

1306 College Dr
Mount Carmel, IL 62863
Phone (618) 262-2255

1430 College Dr
Mount Carmel, IL 62863
Phone (618) 262-5113

1430 College Dr
#B
Mount Carmel, IL 62863
Phone (618) 263-3869

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
Karissa L Turner Individual Corporate OfficerCeo Dec 18, 2019
Operational/Managerial Control Dec 18, 2019
Paul Henager Individual Corporate Director Dec 18, 2019 12%
Debra Dee Individual Corporate Director Nov 18, 2020 12%
Tyler Buss Individual Corporate Director Dec 18, 2019 12%
David Roberts Individual Corporate Director Nov 18, 2020 12%
Cathy Ruth Individual W-2 Managing EmployeeDirector of Operations Sep 1, 2020
Operational/Managerial Control Sep 1, 2020
Erika Kieffer Individual Corporate Director Feb 19, 2020 12%
Michael McWilliams Individual Corporate Director Dec 18, 2019 12%
Justin Dulgar Individual Corporate Director Dec 18, 2019 12%
William Stinson Individual Corporate Director Dec 18, 2019 12%
Robert J Coleman Individual Corporate Director Dec 18, 2019 12%
Craig Newman Individual Corporate Director Feb 19, 2020 12%
Mark Brines Individual Corporate Director Dec 18, 2019 12%
Christy McPherson Individual Corporate Director Dec 18, 2019 12%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Wabash General Hospital-Dba-Convenient CareMount Carmel, IL, CCN 148501 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.

Practitioners & affiliated clinicians

Practitioners 110

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.

View all 110

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1922645910",
    "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",
            "fax_number": "618-263-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631212",
            "telephone_number": "618-263-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH GENERAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-262-8621",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Community Healht Center Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wabash Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Carmel, IL

Sources for this page

Verify at the official NPI Registry.