| Organization Name: | PARKVIEW WABASH HOSPITAL, INC. |
| NPI Number: | 1245259878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANTON RISSER (VP / INTERIM CFO) |
| Mailing Address: | 710 N East St Wabash |
| State: | IN US |
| Postal Code: | 469921914 |
| Phone Number: | 2605633131 |
| Fax Number: | 2605692380 |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 09/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 06-005094-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |