Shawnee Health Care, Carterville

LBN: Shawnee Health Service And Development Corp
Shawnee Health Care, Carterville is an health care organization with primary practice located at 1006 S Division St , Carterville IL 62918-1539. The organization recently has 7 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, Allopathic & Osteopathic Physicians / Obstetrics, 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) 985-4841, or through Carney, Christina via phone (618) 956-9521.

Contact Information

Primary practice address
1006 S Division St Carterville IL 62918-1539
Phone: (618) 985-4841
Fax: (618) 985-3774
Website:
Map and Directions
Authorized official contact:
Name: Carney, Christina
Phone: (618) 956-9521

Health care specialties

SpecialtyCodeLicense #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
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1811928732
LBN Legal business name Shawnee Health Service And Development Corp
DBA Doing business as Shawnee Health Care, Carterville
Authorized official Carney, Christina
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jul 17th, 2024 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811928732 NPPES
Illinois Other 10032052 BCBS
Illinois Other CF3444 BCBS

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