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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Active Organization

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a Federally Qualified Health Center organization located in CARBONDALE, Illinois. NPI 1053878967 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · CARBONDALE, IL

Registration Details

NPI Number
1053878967
Provider Type
Organization
NPI Issued
Feb 27, 2019 (7.4368042528432 yrs)
Last Updated
Jul 29, 2024

Practice Information

Address
1025 N WALL ST RM 102
CARBONDALE, IL, 629011737
Browse IL providers · Browse ZIP 62901
Phone
6185199200
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Clinical Social Worker
Additional Specialty
General Dentistry
Additional Specialty
Dental Hygienist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.