| Egyptian Health Department | |
|
9525 Gold Hill Rd Shawneetown IL 62984 | |
| (618) 269-3454 | |
| (618) 269-3825 |
| Full Name | Egyptian Health Department |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 9525 Gold Hill Rd, Shawneetown, Illinois |
| Authorized Official Name and Position | Angie 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 1412 Us Highway 45 N Eldorado IL 62930-3766 Ph: (618) 273-3326 | Egyptian Health Department 9525 Gold Hill Rd Shawneetown IL 62984 Ph: (618) 269-3454 |
| NPI Number | 1326334020 |
|---|---|
| Provider Enumeration Date | 06/22/2011 |
| Last Update Date | 05/28/2020 |
| Certification Date | 05/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326334020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 04061 (Illinois) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (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 |