Egyptian Health Department

Organization Active NPI Community Health Nurse Practitioner · Eldorado, IL

NPI 1649585407 · NPPES record last updated Sep 28, 2010

Key facts

NPI
1649585407
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Nurse Practitioner 363LC1500X
Legal business name
EGYPTIAN HEALTH DEPARTMENT
Practice address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone
(618) 273-3326
Fax
(618) 273-2808
NPI assigned
Aug 17, 2010
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 19

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

National Provider Directory

Tax ID family
Egyptian Health Department (20 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LC1500X Yes

Addresses

Primary practice location

1412 US Highway 45 N
Eldorado, IL 62930-3766

Mailing address

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

Other providers in Eldorado, IL

All providers in Eldorado, IL · Community Health Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.