EGYPTIAN HEALTH DEPARTMENT (NPI# 1326334020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326334020 |
| Entity Type | Organization |
| Organization Name | EGYPTIAN HEALTH DEPARTMENT |
| Practice Address |
9525 Gold Hill Rd Shawneetown IL 62984 |
| Mailing Address |
1412 Us Highway 45 N Eldorado IL 62930-3766 |
| Practice Telephone | 6182693454 |
| Practice Fax Number | 6182693825 |
| Mailing Telephone | 6182733326 |
| Mailing Fax Number | 6182732808 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | ANGIE HAMPTON (CEO) |
| Authorized Official Telephone | 6182733326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 04061 | IL | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971984 | Egyptian Health Department | Clinic/Center | 713 E Church St, Harrisburg, IL 62946-1715 | 2019-09-13 |
| 1104121326 | Egyptian Health Department | Community/Behavioral Health | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2011-01-19 |
| 1962707257 | Egyptian Health Department | Community/Behavioral Health | 715 E Church St, Harrisburg, IL 62946-1715 | 2011-01-18 |
| 1588662605 | Egyptian Health Department | Community/Behavioral Health | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2005-07-12 |
| 1699242131 | Egyptian Health Department | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-11-01 |
| 1689141145 | Egyptian Health Department | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-11-01 |
| 1689157646 | Egyptian Health Department | Case Manager/Care Coordinator | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-09-14 |
| 1205384294 | Egyptian Health Department | Community/Behavioral Health | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2016-09-19 |
| 1710316740 | Egyptian Health Department | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2013-11-12 |
| 1871889097 | Egyptian Health Department | Community/Behavioral Health | 715 E Church St, Harrisburg, IL 62946-1715 | 2011-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EGYPTIAN HEALTH DEPARTMENT | 1412 Us Hwy 45 N, Eldorado, IL 62930-3766 |
| Street Address |
9525 GOLD HILL RD |
| City | SHAWNEETOWN |
| State | IL |
| Zip Code | 62984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104121326 | Egyptian Health Department | Community/Behavioral Health | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2011-01-19 |
| 1457874919 | Sally Mcclenahan | Licensed Practical Nurse | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2017-07-17 |
| 1467858712 | Greta Smith | Nurse Practitioner | 9525 Gold Hill Rd, Shawneetown, IL 62984-3659 | 2014-11-14 |
| 1386920908 | Gena R Snyder | Licensed Practical Nurse | 9525 Gold Hill Rd, Shawneetown, IL 62984 | 2011-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194237735 | Prn Pharmacies Ltd | Pharmacy | 254 North Lincoln Blvd. East, Shawneetown, IL 62984 | 2017-11-03 |
| 1932525144 | Samatha Halie Moore | Occupational Therapy Assistant | 136 East Townshend, Shawneetown, IL 62984 | 2014-03-12 |
| 1023375888 | Chanda Fern Sauls | Licensed Practical Nurse | 209 N. Lincoln Blvd. W, Shawneetown, IL 62984 | 2012-04-18 |
| 1245399534 | Gallatin Rural Health Clinic | Family Medicine | 232 Lincoln Blvd, Shawneetown, IL 62984 | 2006-12-06 |
| 1992899843 | Wendy Marie Griffith | Licensed Practical Nurse | 209 N Lincoln Blvd West, Shawneetown Health Care Clinic, Shawneetown, IL 62984 | 2006-10-03 |
| 1285614867 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 9525 Gold Hill Road, Shawneetown Health Care Clinic, Shawneetown, IL 62984 | 2006-01-19 |
| 1912134362 | Amy Bratcher | Nurse Practitioner | 9525 Gold Hill Road, Shawneetown, IL 62984-0348 | 2009-06-12 |
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | SHAWNEETOWN |
| Zip Code | 62984 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.