JEFFERSON COUNTY COMPREHENSIVE SVC – NPI #1881828788
Substance Abuse Rehabilitation Facility

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.

JEFFERSON COUNTY COMPREHENSIVE SVC is a substance abuse rehabilitation facility located in MOUNT VERNON, IL. NPPES has assigned the NPI number 1881828788 to JEFFERSON COUNTY COMPREHENSIVE SVC on May 06, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. JEFFERSON COUNTY COMPREHENSIVE SVC is also known by the name VANTAGE POINT. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 7 years ago on Jan 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFERSON COUNTY COMPREHENSIVE SVC below.

NPI Profile for
JEFFERSON COUNTY COMPREHENSIVE SVC

NPI Number
1881828788
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JEFFERSON COUNTY COMPREHENSIVE SVC
Other Name: VANTAGE POINT
Primary location
16342 N IL HWY 37
MOUNT VERNON, IL 62864
Phone: (618) 242-1994 Fax: (618) 242-6392
Mailing address
PO BOX 428
MOUNT VERNON, IL 62864-0054
Phone: (618) 242-1994 Fax: (618) 242-6392
Organization Subpart
No
Authorized Official
DANIEL BOEHMER
EXECUTIVE DIRECTOR
Phone: (618) 242-1994
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
IL 002250002
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.