Organization Name: | WABASH COUNTY HEALTH DEPARTMENT |
NPI Number: | 1912906306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA A POLAND (AGENCY ADMINISTRATOR) |
Mailing Address: | 130 W 7th St Mount Carmel |
State: | IL US |
Postal Code: | 628631439 |
Phone Number: | 6182633873 |
Fax Number: | 6182624215 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |