NPIMap

Organization Active NPI

Parkview Wabash Hospital, Inc.

  • Rural Health Clinic/Center
  • Wabash, IN
National Provider Identifier
1982103511
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.
Practice address
8 John Kissinger Drive
Wabash, IN 46992-1648
Phone
(260) 563-3131
NPI assigned
Feb 9, 2018
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

8 John Kissinger Drive
Wabash, IN 46992-1648

Mailing address

8 John Kissinger Drive
Wabash, IN 46992-1648

Other names 1

  • Parkview Wabash Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190110002677 IN Part A Provider - Rural Health Clinic 0244553360 Practice locations: Wabash, IN

Rural health clinic certification: CCN 158542

Legal name
PARKVIEW WABASH HOSPITAL INC
Doing business as
PARKVIEW WABASH HEALTH CLINIC - KISSINGER DRIVE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 24, 2019
Last certification
Jul 24, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
8 John Kissinger Dr
Wabash, IN 46992-1648
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
15D0359008Parkview Wabash Health Clinic8 John Kissinger Drive, Wabash, IN 46992Certificate of waiverDec 11, 2026
15D2067617Parkview Wabash Health Clinic8 John Kissinger, 2ND Floor, Wabash, IN 46992Certificate of waiverDec 13, 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.

Locations

8 John Kissinger Dr
Wabash, IN 46992
Phone (260) 563-7421

8 John Kissinger Dr
Ste D
Wabash, IN 46992
Phone (260) 563-3131

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, 2015
W-2 Managing Employee Jan 1, 2015
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, 2015
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, 2017
Benjamin Vanderpool Individual Corporate Officer Jan 1, 2022
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, 2023
Rick Henvey Individual Corporate OfficerCeo Dec 31, 2006
W-2 Managing EmployeeCeo Dec 31, 2006
Debra a Potempa Individual Corporate Officer Apr 17, 2022
W-2 Managing Employee Apr 17, 2022
Nathan Fansher Individual Corporate OfficerBoard Member Jan 1, 2026
Amanda Lopez Individual Corporate Officer Jan 1, 2024
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 - North ManchesterNorth Manchester, IN, CCN 158541 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jun 1, 2018
Jan 1, 2018

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.

Practitioners & affiliated clinicians

Practitioners 55

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

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1982103511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JOHN KISSINGER DRIVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JOHN KISSINGER DRIVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921648",
            "telephone_number": "260-563-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW WABASH HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKVIEW WABASH HOSPITAL, INC.",
        "enumeration_date": "2018-02-09",
        "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": "Parkview Wabash Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wabash, IN

Sources for this page

Verify at the official NPI Registry.