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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 1841757242 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · CARBONDALE, IL

Registration Details

NPI Number
1841757242
Provider Type
Organization
NPI Issued
Feb 22, 2019 (7.4506507603108 yrs)
Last Updated
Jul 16, 2024

Practice Information

Address
1150 E GRAND AVE RM 127
CARBONDALE, IL, 629013422
Browse IL providers · Browse ZIP 62901
Phone
6185199200
Fax
6184578931
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Clinical Social Worker
Additional Specialty
General Dentistry
Additional Specialty
Dental Hygienist
Additional Specialty
Family Medicine
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.