THOMAS ELEMENTARY SCHOOL HEALTH CENTER
NPI 1053878967
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, IL

Q: What is Shawnee Health Service And Development Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 27, 2019

1025 N WALL ST RM 102, CARBONDALE, IL 62901(618) 519-9200 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Apr 5, 2024, Feb 27, 2019 (3 updates tracked since 2019).

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About Thomas Elementary School Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS ELEMENTARY SCHOOL HEALTH CENTER (NPI 1053878967) is a healthcare organization registered as a federally qualified health center (fqhc) in Carbondale, Illinois and active in the NPI registry since February 2019. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053878967

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Location Address1025 N WALL ST RM 102Carbondale, IL 62901-1737

Mailing Address109 California St., Po Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860

Phone(618) 519-9200

Organization SubpartYes

Authorized OfficialChristina CarneyCeo · (618) 956-9521

Enumeration DateFebruary 27, 2019

Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1053878967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDental HygienistTaxonomy 124Q00000X

1025 N WALL ST RM 102, Carbondale, IL 62901

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Other Names 1

Doing Business AsThomas Elementary School Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnee Health Service And Development Corp's NPI number?

The NPI number for Shawnee Health Service And Development Corp is 1053878967. It was assigned to this organization in the NPPES registry on February 27, 2019. The provider is doing business as Thomas Elementary School Health Center.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 1025 N Wall St Rm 102, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Shawnee Health Service And Development Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Shawnee Health Service And Development Corp was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.