OrganizationActive
Jefferson County Comprehensive
NPI 1649404708 · Substance Abuse Rehabilitation Facility · Mt Vernon, IL
Provider details
- NPI number
- 1649404708
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Boehmer, Executive Director(618) 242-1994
- License
- 002250003 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16338 N Il Hwy 37
Mt Vernon, IL 62864
Phone: (618) 242-1994
Fax: (618) 242-6392
Street-level locationGet directions
Mailing address
Po Box 428
Mount Vernon, IL 62864-0054
Other names (DBA / former)
- Other name
- Substance Abuse Outpatient
- Other name
- Substance Abuse Outpatient
Registry dates
- Enumerated
- 2009-05-05
- Last updated
- 2018-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.