Shawnee Health Care, Ob/Gyn
LBN: Shawnee Health Service And Development Corp
Shawnee Health Care, Ob/Gyn is an health care organization with primary practice located at 101 S Wall St , Carbondale IL 62901-3021. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, 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) 519-9200, or through Carney, Christina via phone (618) 956-9521.
Contact Information
Primary practice address
101 S Wall St
Carbondale IL 62901-3021
Phone: (618) 519-9200
Fax: (618) 519-9404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1457381774 |
|---|---|
| LBN Legal business name | Shawnee Health Service And Development Corp |
| DBA Doing business as | Shawnee Health Care, Ob/Gyn |
| Authorized official | Carney, Christina |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 5th, 2024 - about last year |
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 | 1457381774 | NPPES |
| Illinois | Other | CF3444 | MEDICARE RAILROAD |
| Illinois | Other | 10032052 | MEDICARE RAILROAD |
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