EGYPTIAN HEALTH DEPARTMENT (NPI# 1699242131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699242131 |
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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
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 |
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 |
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 |
1689141145 | 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 | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
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 |
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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.