SHAWNEE HEALTH CARE, SAME DAY
NPI 1285185173
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, IL

Active since October 17, 2016
404 S. LEWIS LANE, CARBONDALE, IL 62901(618) 519-9200(618) 549-1288 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2024, Jul 29, 2024, Apr 5, 2024 and 2 more (5 updates tracked since 2016).

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

NPI1285185173
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address404 S. LEWIS LANECarbondale, IL 62901
Mailing AddressPo Box 577, 109 California St.Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860
Fax(618) 549-1288
Organization SubpartYes
Authorized OfficialChristina CarneyCeo · (618) 956-9521
Enumeration DateOctober 17, 2016
Last NPPES UpdateAugust 5, 20245 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1285185173 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 ListedCounselorTaxonomy 101Y00000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X · License H80CS00667 (IL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License H80CS00667 (IL)
404 S. LEWIS LANE, Carbondale, IL 62901

Other Names 1

Doing Business AsShawnee Health Care, Same Day

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 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.

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.