Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
NPI 1184542169
Clinic/Center - Federally Qualified Health Center (FQHC) in Carterville, IL

Active since July 08, 2026
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918(618) 519-9200(618) 985-4635 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shawnee Health Service & Development Corp NPPES

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

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP (NPI 1184542169), doing business as Murphysboro Wellness Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Carterville, Illinois and active in the NPI registry since July 2026. The organization lists Jeffrey Cooper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184542169
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
Location Address109 CALIFORNIA ST, PO BOX 577Carterville, IL 62918
Mailing Address2125 Spruce St, Door W3Murphysboro, IL 62966
Fax(618) 985-4635
Organization SubpartYes
Authorized OfficialJeffrey CooperCeo · (618) 956-9513
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
NPI 1184542169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedFamily MedicineTaxonomy 207Q00000X
109 CALIFORNIA ST, Carterville, IL 62918

Other Names 1

Doing Business AsMurphysboro Wellness 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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
109 CALIFORNIA ST, PO BOX 577
CARTERVILLE, IL 62918
Clinic/Center (Federally Qualified Health Center (FQHC))
109 CALIFORNIA ST
CARTERVILLE, IL 62918
Case Management
109 CALIFORNIA ST
CARTERVILLE, IL 62918

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 & Development Corp's NPI number?

The NPI number for Shawnee Health Service & Development Corp is 1184542169. It was assigned to this organization in the NPPES registry on July 8, 2026. The provider is doing business as Murphysboro Wellness Center.

Where is Shawnee Health Service & Development Corp located?

Shawnee Health Service & Development Corp is located at 109 California St PO Box 577, Carterville, IL 62918. The listed phone number is (618) 519-9200.

What is Shawnee Health Service & 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 & Development Corp was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.