THOMAS ELEMENTARY SCHOOL HEALTH CENTER
NPI 1053878967
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, IL
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
Specialties & Licenses 5
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Elementary School Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
52Medicare enrollment records show 52 clinicians reassign Medicare billing to Thomas Elementary School Health Center, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 52Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Shawnee Health Service And Development Corp enrolled in Medicare?
Yes. Shawnee Health Service And Development Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shawnee Health Service And Development Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 8 Medicare specialties reassign their Medicare billing to Shawnee Health Service And Development Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (15), Family Practice (8) and Certified Nurse Midwife (CNM) (7). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Thomas Elementary School Health Center · NPI 1053878967
Federally Qualified Health Center (FQHC) organization in Carbondale, Illinois. Organization record, active in the CMS NPPES registry since February 27, 2019.
## Identity
- **NPI:** 1053878967 (Entity type: Organization)
- **Enumerated:** February 27, 2019
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Shawnee Health Service And Development Corp
- **Organization subpart:** Yes (part of Shawnee Health Service And Development Corp)
- **Authorized official:** Christina Carney, CEO
## Practice location
- **Address:** 1025 N WALL ST RM 102, Carbondale, IL 62901-1737
- **Phone:** (618) 519-9200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 52 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Family Practice (8), Certified Nurse Midwife (CNM) (7); 35 practice within 10 miles; [full list](https://npiprofile.com/npi/1053878967/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053878967) · Data from the CMS NPPES public registry.