EGYPTIAN HEALTH DEPARTMENT (NPI# 1588662605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588662605 |
| Entity Type | Organization |
| Organization Name | EGYPTIAN HEALTH DEPARTMENT |
| Other Organization Name | EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT |
| Practice Address |
1412 Us Highway 45 N Eldorado IL 62930-3766 |
| Practice Telephone | 6182733326 |
| Practice Fax Number | 6182732808 |
| Mailing Telephone | 6182733326 |
| Mailing Fax Number | 6182732808 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | MRS. 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 | A-0271-0002-A | IL | Agencies |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
1002336 | IL | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
A-0271-0002-A | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDHR NUMBER | 96505-00 | 01 |
| Other Name | Type Code |
|---|---|
| Egyptian Public and Mental Health Department | Other Name - Individual/Organization |
| 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 |
| 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 |
| 1326334020 | Egyptian Health Department | Community/Behavioral Health | 9525 Gold Hill Rd, Shawneetown, IL 62984 | 2011-06-22 |
| 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 |
1412 US HIGHWAY 45 N |
| City | ELDORADO |
| State | IL |
| Zip Code | 62930-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136253 | Taylor Lauer | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1699388793 | Zachary David Stearns | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2020-08-28 |
| 1639632417 | Sarah Dickinson | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-04-09 |
| 1619438058 | Heather Marie Lacey | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-28 |
| 1962963777 | Ernie Fowler | Counselor | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-26 |
| 1225599160 | Kathryn Bangs | Psychologist | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2019-03-25 |
| 1689157646 | Egyptian Health Department | Case Manager/Care Coordinator | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-09-14 |
| 1790262822 | Jacqueline Jo Klossing | Early Intervention Provider Agency | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2018-07-21 |
| 1326551987 | Alyssa Payne | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-11-06 |
| 1821500547 | Brenda Whitler | Registered Nurse | 1412 Us Highway 45 N, Eldorado, IL 62930-3766 | 2017-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
| 1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
| 1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| 1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
| 1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
| 1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
| 1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
| 1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
| 1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
| Find all providers in zip 62930 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.