Fellowship House

LBN: Fellowship House
Fellowship House is an health care organization with primary practice located at 800 N Main St , Anna IL 62906-1665. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Fellowship House can be contacted via phone (618) 833-4456, or through Finch, Mickey Rae via phone (618) 833-4456.

Contact Information

Primary practice address
800 N Main St Anna IL 62906-1665
Phone: (618) 833-4456
Fax: (618) 833-2371
Website:
Map and Directions
Authorized official contact:
Name: Finch, Mickey Rae M.S.
Phone: (618) 833-4456

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X A-0626-0002-A Illinois

Profile Details

NPI number 1568518496
LBN Legal business name Fellowship House
DBA Doing business as
Authorized official Finch, Mickey Rae M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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