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FELLOWSHIP HOUSE
NPI 1568518496
Substance Abuse Rehabilitation Facility in Anna, IL

Active since January 25, 2007
800 N MAIN ST, ANNA, IL 62906(618) 833-4456(618) 833-2371 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fellowship House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FELLOWSHIP HOUSE (NPI 1568518496) is a healthcare organization registered as a substance abuse rehabilitation facility in Anna, Illinois and active in the NPI registry since January 2007. The organization lists Mickey Rae Finch, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1568518496
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFELLOWSHIP HOUSE
Location Address800 N MAIN STAnna, IL 62906-1665
Mailing Address800 N Main St, P.o. Box 682Anna, IL 62906-1665 · (618) 833-4456 · Fax (618) 833-2371
Phone(618) 833-4456
Fax(618) 833-2371
Organization SubpartNo
Authorized OfficialMickey Rae FinchChief Executive Officer · (618) 833-4456
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568518496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in IL · A-0626-0002-A
Definition
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.
800 N MAIN ST, Anna, IL 62906
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH FRANKLAND
Counselor (Professional)
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
LADONNA RISLEY EMT
Emergency Medical Technician, Basic
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
SHERYL BRYANT RN
Registered Nurse
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
AUTUMN SUTTON BS
Case Manager/Care Coordinator
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
RONALD L MURRAY ADN, RN
Registered Nurse (Addiction (Substance Use Disorder))
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
ROSE STAPLE LPN
Licensed Practical Nurse
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
NICHOLE WHITWORTH LPN
Licensed Practical Nurse
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456
CHRISTINA FALASTER RN
Registered Nurse (Addiction (Substance Use Disorder))
800 N MAIN ST
ANNA, IL 62906
Union County (618) 833-4456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fellowship House's NPI number?

The NPI number for Fellowship House is 1568518496. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Fellowship House located?

Fellowship House is located at 800 N Main St, Anna, IL 62906. The listed phone number is (618) 833-4456.

What is Fellowship House's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Fellowship House was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.