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NPI Code Detail

MEDICARE: WABASH COUNTY HOSPITAL, INC.

MEDICARE: WABASH COUNTY HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730494840
Entity Type Code : Organization
Provider Name (Legal Business Name) : WABASH COUNTY HOSPITAL, INC.
Provider Business Mailing Address
First Line : 1025 MANCHESTER AVE
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Provider Business Practice Location Address
First Line : 1025 MANCHESTER AVE
Second Line :
City : WABASH
State : IN
Zip : 46992-1425
Country : US
Telephone Number : 260-563-7421
Fax Number : 260-563-7725
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JANE M BISSEL
Credential :
Telephone Number : 260-569-2247
Provider Enumeration Date : 08/12/2010
Last Update Date : 10/14/2011

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