NPIMap

Organization Active NPI

Egyptian Public and Mental Health Department

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Eldorado, IL
National Provider Identifier
1609644467
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT
Practice address
1418 US Highway 45 N
Eldorado, IL 62930-3766
Phone
(618) 273-3326
Fax
(618) 273-2808
NPI assigned
Dec 12, 2023
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
John David Aldridge
Title
Ceo
Phone
(161) 827-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

1418 US Highway 45 N
Eldorado, IL 62930-3766

Mailing address

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

Other names 1

  • Egyptian Health Department Other name

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

Locations

1418 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-3326

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1609644467",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303766",
            "telephone_number": "618-273-3326",
            "fax_number": "618-273-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "161-827-3332"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Egyptian Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eldorado, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.