| Egyptian Health Department | |
|
9525 Gold Hill Rd Shawneetown IL 62984-3659 | |
| (618) 269-3454 | |
| (618) 269-3825 |
| Full Name | Egyptian Health Department |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9525 Gold Hill Rd, Shawneetown, Illinois |
| Authorized Official Name and Position | Angie R Hampton (CEO) |
| Authorized Official Contact | 6182733326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Egyptian Health Department 9525 Gold Hill Rd Shawneetown IL 62984 Ph: (618) 269-3454 | Egyptian Health Department 9525 Gold Hill Rd Shawneetown IL 62984-3659 Ph: (618) 269-3454 |
| NPI Number | 1104121326 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104121326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Egyptian Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9525 Gold Hill Rd, Shawneetown, IL 62984 Phone: 618-269-3454 Fax: 618-269-3825 |