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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI 1235780982
Clinic/Center - Methadone in Carterville, IL

Active since September 24, 2019
1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 519-9200(618) 985-3774 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shawnee Health Service And Development Corp NPPES

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

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP (NPI 1235780982), doing business as Shawnee Health Care, Carterville Sud, is a healthcare organization registered as a methadone in Carterville, Illinois and active in the NPI registry since September 2019. The organization lists Patsy R Jensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235780982
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address1006 S DIVISION STCarterville, IL 62918-1539
Mailing AddressPo Box 577, 109 California StCarterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 985-3774
Organization SubpartYes
Authorized OfficialPatsy R JensenCeo · (618) 956-9508
Enumeration DateSeptember 24, 2019
✔ NPI 1235780982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1006 S DIVISION ST, Carterville, IL 62918
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Other Names 1

Doing Business AsShawnee Health Care, Carterville Sud

Other Providers at the Same Location NPPES 17

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

KATIE SURMAN RD
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
AMANDA ELLIS LCPC
Counselor (Mental Health)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
KAIF MOHAMMED YUSUF MANSURI M.D.
Family Medicine
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
CONNIE E DEEN LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841
ALEXANDRIA MARKEL LCPC
Counselor (Mental Health)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
MR. DAVID VACCARO MSW, LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
LACIE DIANE HAWKINS RD-LDN
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841
TERESA JOHNSON APRN
Nurse Practitioner
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200

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 1235780982. It was assigned to this organization in the NPPES registry on September 24, 2019. The provider is doing business as Shawnee Health Care, Carterville SUD.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 1006 S Division St, Carterville, IL 62918. 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 Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Shawnee Health Service And Development Corp was last updated on September 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.