Provider Demographics
NPI:1528446630
Name:WABASH COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:WABASH COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WISSEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:618-263-3873
Mailing Address - Street 1:1123 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT CARMEL
Mailing Address - State:IL
Mailing Address - Zip Code:62863-1212
Mailing Address - Country:US
Mailing Address - Phone:618-263-4970
Mailing Address - Fax:618-263-4837
Practice Address - Street 1:1123 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MOUNT CARMEL
Practice Address - State:IL
Practice Address - Zip Code:62863-1212
Practice Address - Country:US
Practice Address - Phone:618-263-4970
Practice Address - Fax:618-263-4837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit