1639295314 SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Enumeration Date
March 22, 2007
Last Update
April 5, 2024
Authorized Official
CHRISTINA CARNEY
CEO
Phone: (618) 956-9521

Practice Location

Address
109 CALIFORNIA ST
CARTERVILLE, IL 629180577
Phone
(618) 985-8221
Fax
(618) 985-6860

Mailing Address

Address
109 CALIFORNIA ST
P O BOX 577
CARTERVILLE, IL 629180577
Phone
(618) 985-8221
Fax
(618) 985-6860

Specialties & Taxonomies

Specialty Code Classification License State Primary
Clinical Social Worker
Clinical
 1041C0700X Social Worker N/A IL No
Dentist
 122300000X Dentist N/A IL No
Dental Hygienist
 124Q00000X Dental Hygienist N/A IL No
Dental Assistant
 126800000X Dental Assistant N/A IL No
Registered Dietitian
 133V00000X Dietitian, Registered N/A IL No
Family Medicine Physician
 207Q00000X Family Medicine N/A IL No
Adolescent Medicine (Family Medicine) Physician
Adolescent Medicine
 207QA0000X Family Medicine N/A IL No
Pulmonary Disease Physician
Pulmonary Disease
 207RP1001X Internal Medicine N/A IL No
Obstetrics & Gynecology Physician
 207V00000X Obstetrics & Gynecology N/A IL No
Pediatrics Physician
 208000000X Pediatrics N/A IL No
Neurology Physician
Neurology
 2084N0400X Psychiatry & Neurology N/A IL No
Community/Retail Pharmacy
Community/Retail Pharmacy
 3336C0003X Pharmacy N/A IL No
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
 261QF0400X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
022 05 IL N/A
020 05 IL N/A
640701 01 N/A MEDICARE PART B GROUP ID
10032052 01 IL BLUE CROSS BLUE SHIELD
CF3444 01 IL MEDICARE RAILROAD
013 05 IL N/A
024 05 IL N/A
018 05 IL N/A
019 05 IL N/A

Frequently Asked Questions

What is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's NPI number?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's NPI number is 1639295314.
Which doctor has NPI number 1639295314?
The doctor with NPI number 1639295314 is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP.
What is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's practice address?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's practice address is 109 CALIFORNIA ST, CARTERVILLE, IL, 629180577.
Which doctor practices at 109 CALIFORNIA ST, CARTERVILLE, IL, 629180577?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP practices at 109 CALIFORNIA ST, CARTERVILLE, IL, 629180577.
What is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's phone number?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's phone number is (618) 985-8221.
Who is (618) 985-8221?
(618) 985-8221 is the phone number for SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP.
What is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's specialty?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a Federally Qualified Health Center (FQHC).
Is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP a Federally Qualified Health Center (FQHC)?
Yes, SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a Federally Qualified Health Center (FQHC).
Is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP still practicing?
Yes, SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is currently practicing.
Is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP accepting new patients?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP may be accepting new patients. Please call their office at (618) 985-8221 to inquire about availability.
Is NPI 1639295314 still active?
Yes, NPI 1639295314 is currently active.
Where does SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP practice?
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP practices in CARTERVILLE, IL.