| Organization Name: | WABASH GENERAL HOSPITAL DISTRICT |
| NPI Number: | 1194728808 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASPER JAY PURVIS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1418 College Dr Mount Carmel |
| State: | IL US |
| Postal Code: | 628632638 |
| Phone Number: | 6182628621 |
| Fax Number: | 6182636467 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 0002865 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |