Provider Demographics
NPI:1043585466
Name:WABASH COUNTY HOSPITAL, INC.
Entity Type:Organization
Organization Name:WABASH COUNTY HOSPITAL, INC.
Other - Org Name:WABASH ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BISSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-569-2247
Mailing Address - Street 1:PO BOX 548
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-0548
Mailing Address - Country:US
Mailing Address - Phone:260-563-3131
Mailing Address - Fax:
Practice Address - Street 1:710 N EAST ST
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-1914
Practice Address - Country:US
Practice Address - Phone:260-563-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty