EGYPTIAN HEALTH DEPARTMENT (NPI# 1689141145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689141145 |
| Entity Type | Organization |
| Organization Name | EGYPTIAN HEALTH DEPARTMENT |
| Other Organization Name | EGYPTIAN BEHAVIORAL HEALTH |
| Practice Address |
407 N Basin Rd Fairfield IL 62837-9639 |
| Mailing Address |
1412 Us Highway 45 N Eldorado IL 62930-3766 |
| Practice Telephone | 6182733326 |
| Practice Fax Number | 6182732808 |
| Mailing Telephone | 6182733326 |
| Mailing Fax Number | 6182733585 |
| Enumeration Date | 2018-11-01 |
| 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 | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 04051 | 05 |
| Other Name | Type Code |
|---|---|
| Egyptian Behavioral Health | 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 |
| 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 |
| 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 |
407 N BASIN RD |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-9639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952589830 | South Eastern Illinois Counseling Center Inc | Clinic/Center | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-04 |
| 1750909628 | Brian Frank Vahl | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2020-07-08 |
| 1376003202 | Rosella Leeann Book | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2019-03-25 |
| 1699242131 | Egyptian Health Department | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-11-01 |
| 1306349329 | Renae Robertson | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2018-03-15 |
| 1235598855 | Shari Winter | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2016-02-11 |
| 1780053348 | Makenzie Baker X | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2015-09-24 |
| 1881006369 | Allissa Keoughan | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2014-06-02 |
| 1033496260 | Jeneva Carron | Counselor | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2011-11-16 |
| 1013186568 | S E Illinois Counseling Ctrs | Community/Behavioral Health | 407 N Basin Rd, Fairfield, IL 62837-9639 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
| 1073648747 | Crestwood Behavioral Health, Inc. | Clinic/Center | 1945 Kidder Ave, Fairfield, CA 94533-3919 | 2007-02-22 |
| 1972095701 | Crestwood Behavioral Health,inc | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533 | 2018-06-06 |
| 1255823613 | Caminar | Clinic/Center | 1735 Enterprise Dr Ste 105a, Fairfield, CA 94533-6822 | 2018-06-01 |
| 1407913064 | Health & Social Services | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2007-01-03 |
| 1295890945 | Health and Social Services | Clinic/Center | 2101 Courage Dr, Fairfield, CA 94533-6717 | 2006-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
| 1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
| 1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
| 1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.