Organization
EGYPTIAN HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE HAMPTON (CEO)
(618) 273-3326
Entity
Organization
Contact information
Practice address
9525 GOLD HILL RD, SHAWNEETOWN, IL 62984
(618) 269-3454
(618) 269-3825
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-2808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
04061
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
05/28/2020
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