SHAWNEE HEALTH CARE, SAME DAY
NPI 1285185173
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, IL
About Shawnee Health Care, Same Day NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNEE HEALTH CARE, SAME DAY (NPI 1285185173) is a healthcare organization registered as a federally qualified health center (fqhc) in Carbondale, Illinois and active in the NPI registry since October 2016. 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)
Shawnee Health Care, Same Day 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 Shawnee Health Care, Same Day, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 35 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 1285185173. It was assigned to this organization in the NPPES registry on October 17, 2016. The provider is doing business as Shawnee Health Care, Same Day.
Where is Shawnee Health Service And Development Corp located?
Shawnee Health Service And Development Corp is located at 404 S. Lewis Lane, 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, 12 practice at this address and 35 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 August 5, 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.
# Shawnee Health Care, Same Day · NPI 1285185173
Federally Qualified Health Center (FQHC) organization in Carbondale, Illinois. Organization record, active in the CMS NPPES registry since October 17, 2016.
## Identity
- **NPI:** 1285185173 (Entity type: Organization)
- **Enumerated:** October 17, 2016
- **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:** 404 S. LEWIS LANE, Carbondale, IL 62901
- **Phone:** (618) 519-9200 · **Fax:** (618) 549-1288
## 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); 12 practice at this address and 35 within 10 miles; [full list](https://npiprofile.com/npi/1285185173/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285185173) · Data from the CMS NPPES public registry.