SHAWNEE HEALTH CARE, OB/GYN
NPI 1457381774
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, 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 July 03, 2006

101 S WALL ST, CARBONDALE, IL 62901(618) 519-9200(618) 519-9404 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Apr 5, 2024, Jul 21, 2022 and 6 more (9 updates tracked since 2015).

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About Shawnee Health Care, Ob/gyn NPPES

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

SHAWNEE HEALTH CARE, OB/GYN (NPI 1457381774) is a healthcare organization registered as a federally qualified health center (fqhc) in Carbondale, Illinois and active in the NPI registry since July 2006. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457381774

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Location Address101 S WALL STCarbondale, IL 62901-3021

Mailing Address109 California St, P O Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860

Phone(618) 519-9200

Fax(618) 519-9404

Organization SubpartYes

Authorized OfficialChristina CarneyCeo · (618) 956-9521

Enumeration DateJuly 3, 2006

Last NPPES UpdateJuly 29, 20249 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1457381774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedObstetrics & GynecologyTaxonomy 207V00000X

101 S WALL ST, Carbondale, IL 62901

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Other Names 1

Doing Business AsShawnee Health Care, Ob/gyn

Other Identifiers 2

Other10032052IL · Bcbs

OtherCF3444IL · Medicare Railroad

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 19

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

MEGAN WALKER

Advanced Practice Midwife