Carbondale Middle School Health Center

LBN: Shawnee Health Service And Development Corp
Carbondale Middle School Health Center is an health care organization with primary practice located at 1150 E Grand Ave Rm 127 , Carbondale IL 62901-3422. 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) 519-9200, or through Carney, Christina via phone (618) 956-9521.

Contact Information

Primary practice address
1150 E Grand Ave Rm 127 Carbondale IL 62901-3422
Phone: (618) 519-9200
Fax: (618) 457-8931
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
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1841757242
LBN Legal business name Shawnee Health Service And Development Corp
DBA Doing business as Carbondale Middle School Health Center
Authorized official Carney, Christina
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2019
Last updated Jul 16th, 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.

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