Shawnee Health Care, Carbondale
LBN: Shawnee Health Service And Development Corp
Shawnee Health Care, Carbondale is an health care organization with primary practice located at 400 S Lewis Ln , Carbondale IL 62901-3547. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Shawnee Health Service And Development Corp can be contacted via phone (618) 519-9900, or through Carney, Christina via phone (618) 956-9521.
Contact Information
Primary practice address
400 S Lewis Ln
Carbondale IL 62901-3547
Phone: (618) 519-9900
Fax: (618) 519-9961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Dental Hygienist | 124Q00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1073745345 |
|---|---|
| LBN Legal business name | Shawnee Health Service And Development Corp |
| DBA Doing business as | Shawnee Health Care, Carbondale |
| Authorized official | Carney, Christina |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 20th, 2009 |
| Last updated | Jul 17th, 2024 - about 2 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073745345 | NPPES |
| Illinois | Other | CF3444 | MEDICARE RR |
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