SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI 1366156150
Clinic/Center - Federally Qualified Health Center (FQHC) in Carterville, IL

Q: 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.

Active since January 06, 2023

109 W COMMERCIAL DR, CARTERVILLE, IL 62918(618) 519-9200 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 29, 2024, May 14, 2024, Apr 5, 2024 and 1 more (4 updates tracked since 2023).

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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 1366156150), doing business as Mobile Unit 1, is a healthcare organization registered as a federally qualified health center (fqhc) in Carterville, Illinois and active in the NPI registry since January 2023. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366156150

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Location Address109 W COMMERCIAL DRCarterville, IL 62918-1936

Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200 · Fax (618) 985-6860

Phone(618) 519-9200

Organization SubpartYesParent: Shawnee Health Service And Development Corporation

Authorized OfficialChristina CarneyCeo · (618) 956-9521

Enumeration DateJanuary 6, 2023

Last NPPES UpdateApril 15, 20254 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1366156150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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 ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDental HygienistTaxonomy 124Q00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

109 W COMMERCIAL DR, Carterville, IL 62918

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Other Names 1

Doing Business AsMobile Unit 1

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 1366156150. It was assigned to this organization in the NPPES registry on January 6, 2023. The provider is doing business as Mobile Unit 1.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 109 W Commercial Dr, 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 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 April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.