WABASH COUNTY HEALTH DEPARTMENT
NPI 1366615536
Clinic/Center in Mount Carmel, IL
- Organization
- Clinic/Center
- CLIA Number: 14D0667827
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-30-2028
About WABASH COUNTY HEALTH DEPARTMENT
This page provides the complete NPI Profile along with additional information for Wabash County Health Department, a provider established in Mount Carmel, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1366615536 assigned on April 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Ms. Cynthia A Brown Ms, Lcpc (Administrator)
- NPI
- 1366615536 Verify this NPI
- Provider Name
- WABASH COUNTY HEALTH DEPARTMENT
- Entity Type
- Organization
- Location Address
- 130 W 7TH STREET MOUNT CARMEL, IL 62863
- Location Phone
- (618) 263-3873
- Location Fax
- (618) 262-4215
- Mailing Address
- 130 W 7TH ST MOUNT CARMEL, IL 62863
- Mailing Phone
- (618) 263-3873
- Mailing Fax
- (618) 262-4215
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-09-2008
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 210000185002 | MEDICAID (05) | IL |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0667827
- Facility Type
- Other
- Certificate Effective Date
- May 01, 2026
- Certificate Expiration Date
- April 30, 2028
- Laboratory Director
- LAWRENCE JENNINGS MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wabash County Health Department in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for WABASH COUNTY HEALTH DEPARTMENT
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366615536, enumerated as an "organization" on April 09, 2008.
The provider is located at 130 W 7TH STREET MOUNT CARMEL, IL 62863 and the phone number is (618) 263-3873.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
