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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 1285185173 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · CARBONDALE, IL

Registration Details

NPI Number
1285185173
Provider Type
Organization
NPI Issued
Oct 17, 2016 (9.801807919336 yrs)
Last Updated
Aug 5, 2024
Licenses
H80CS00667 (IL)
H80CS00667 (IL)

Practice Information

Address
404 S. LEWIS LANE
CARBONDALE, IL, 62901
Browse IL providers · Browse ZIP 62901
Phone
6185199200
Fax
6185491288
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Clinical Social Worker
Additional Specialty
Family Medicine
Additional Specialty
Psychiatry
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.