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EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT NPI 1053588012


NPI Information

NPI: 1053588012
Provider Name: EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT

Doing Business As: EGYPTIAN HEALTH DEPARTMENT

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1705 COLLEGE AVE
CARMI, IL
ZIP 62821
Phone: (618) 382-7311
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EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT is a rehabilitation and substance use disorder clinic center in Carmi, IL. EGYPTIAN PUBLIC AND MENTAL HEALTH DEPARTMENT NPI is 1053588012. The provider is registered as an organization entity type.
The provider Is Doing Business As Egyptian Health Department.

The provider's business location address is:

1705 COLLEGE AVE
CARMI, IL
ZIP 62821-258
Phone: (618) 382-7311
Fax: (618) 382-7552

The provider's authorized official is Angie Hampton .
The authorized official title is Ceo and has the following contact phone number (618) 273-3326.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/28/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health002710002ILLINOISNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder00271003ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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