Shawnee Health Service And Development Corp

LBN: Shawnee Health Service And Development Corp
Shawnee Health Service And Development Corp is an health care organization with primary practice located at 109 California St , Carterville IL 62918-0577. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant, Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Community/Retail Pharmacy. 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) 985-8221, or through Carney, Christina via phone (618) 956-9521.

Contact Information

Primary practice address
109 California St Carterville IL 62918-0577
Phone: (618) 985-8221
Fax: (618) 985-6860
Website:
Map and Directions
Authorized official contact:
Name: Carney, Christina
Phone: (618) 956-9521

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Dental Hygienist 124Q00000X Illinois
Dental Providers / Dental Assistant 126800000X Illinois
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Community/Retail Pharmacy 3336C0003X Illinois

Profile Details

NPI number 1639295314
LBN Legal business name Shawnee Health Service And Development Corp
DBA Doing business as
Authorized official Carney, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639295314 NPPES
Illinois MEDICAID 022
Illinois MEDICAID 020
Illinois Other 640701
Illinois Other 10032052
Illinois Other CF3444
Illinois MEDICAID 013
Illinois MEDICAID 024
Illinois MEDICAID 018
Illinois MEDICAID 019

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