FELLOWSHIP HOUSE NPI 1568518496

NPI Information

  • NPI: 1568518496
  • Provider Name: FELLOWSHIP HOUSE
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 800 N MAIN ST
    ANNA, IL
    ZIP 62906
  • Phone: (618) 833-4456

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NPI Details

FELLOWSHIP HOUSE is a substance abuse rehabilitation facility in Anna, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FELLOWSHIP HOUSE NPI is 1568518496. The provider is registered as an organization entity type.

The provider's business location address is:

800 N MAIN ST
ANNA, IL
ZIP 62906-665
Phone: (618) 833-4456
Fax: (618) 833-2371

The provider's authorized official is Mickey Rae Finch .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 833-4456.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.

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
1324500000XSubstance Abuse Rehabilitation FacilityA-0626-0002-AILLINOISYes

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: 11/21/2025

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