NPI Registry.org

Shawnee Health Service And Development Corp

NPI Registration Record

Provider / OrganizationNPIDate Certified
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP16992325122024-04-05

The organization Shawnee Health Service And Development Corp is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1699232512. Registration indicates Shawnee Health Service And Development Corp is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Federally Qualified Health Center (FQHC),, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Federally Qualified Health Center (FQHC),, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Other Provider OrganizationLEWIS SCHOOL HEALTH CENTER
Practice Office Address801 S LEWIS LN RM 153
CARBONDALE, IL US
Practice Office Telephone6185199200
Practice Office Fax6184578931
Mailing Address109 CALIFORNIA ST.
PO BOX 577
CARTERVILLE, IL 629180577 US
Business Telephone6189858221
Business Fax6189856860
Authorized OfficialCHRISTINA CARNEY, CEO
6189569521
HPT Codes
CodePractice
License No
State
261QF0400X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Federally Qualified Health Center (FQHC),

FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse

Clinic/Center Federally Qualified Health Center (FQHC),
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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