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MARION JR HIGH SCHOOL HEALTH CENTER
NPI 1407560261
Clinic/Center - Federally Qualified Health Center (FQHC) in Marion, IL

Active since January 06, 2023
1609 W MAIN ST, MARION, IL 62959(618) 519-9200(618) 998-0880 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2024, Apr 9, 2024, Jan 6, 2023 (3 updates tracked since 2023).

About Marion Jr High School Health Center NPPES

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

MARION JR HIGH SCHOOL HEALTH CENTER (NPI 1407560261) is a healthcare organization registered as a federally qualified health center (fqhc) in Marion, Illinois and active in the NPI registry since January 2023. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407560261
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address1609 W MAIN STMarion, IL 62959-1145
Mailing Address109 California St, Po Box 577Carterville, IL 62918 · (618) 519-9200 · Fax (618) 985-6860
Phone(618) 519-9200
Fax(618) 998-0880
Organization SubpartYes
Authorized OfficialChristina CarneyCeo · (618) 956-9521
Enumeration DateJanuary 6, 2023
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1407560261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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
1609 W MAIN ST, Marion, IL 62959
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Other Names 1

Doing Business AsMarion Jr High School Health 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 2

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

KRISTI GOOCH
Speech-Language Pathologist
1609 W MAIN ST
MARION, IL 62959
Williamson County (618) 997-1317
MRS. MELISSA JAYNE FARLEY LCSW
Social Worker (Clinical)
1609 W MAIN ST
MARION, IL 62959
Williamson County (618) 559-0528

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 1407560261. It was assigned to this organization in the NPPES registry on January 6, 2023. The provider is doing business as Marion Jr High School Health Center.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 1609 W Main St, Marion, IL 62959. 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 July 29, 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.