NPIMap

Organization Active NPI

Egyptian Health Department

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Shawneetown, IL
National Provider Identifier
1326334020
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EGYPTIAN HEALTH DEPARTMENT
Practice address
9525 Gold Hill Rd
Shawneetown, IL 62984
Phone
(618) 269-3454
Fax
(618) 269-3825
NPI assigned
Jun 22, 2011
Last updated
May 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angie Hampton
Title
Ceo
Phone
(618) 273-3326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Community/Behavioral Health Agency 251S00000X 04061 IL

Addresses

Primary practice location

9525 Gold Hill Rd
Shawneetown, IL 62984

Mailing address

1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326

National Provider Directory

National Provider Directory
Tax ID family
Egyptian Health Department20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1326334020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303766",
            "telephone_number": "618-273-3326",
            "fax_number": "618-273-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 GOLD HILL RD",
            "city": "SHAWNEETOWN",
            "state": "IL",
            "postal_code": "62984",
            "telephone_number": "618-269-3454",
            "fax_number": "618-269-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGYPTIAN HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-273-3326"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "04061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawneetown, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.