SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP - NPI 1639295314

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.

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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 1639295314) is a healthcare organization registered as a federally qualified health center (fqhc) in Carterville, Illinois and active in the NPI registry since March 2007. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639295314

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Location Address109 CALIFORNIA STCarterville, IL 62918-0577

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

Phone(618) 985-8221

Fax(618) 985-6860

Organization SubpartNo

Authorized OfficialChristina CarneyCeo · (618) 956-9521

Enumeration DateMarch 22, 2007

Last NPPES UpdateApril 5, 20243 updates tracked since enumeration

NPPES CertifiedApril 5, 2024

✔ NPI 1639295314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentistTaxonomy 122300000X

Also ListedDental HygienistTaxonomy 124Q00000X

Also ListedDental AssistantTaxonomy 126800000X

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

109 CALIFORNIA ST, Carterville, IL 62918

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Other Identifiers 9

Medicaid022IL

Medicaid020IL

Other640701Medicare Part B Group Id

Other10032052IL · Blue Cross Blue Shield

OtherCF3444IL · Medicare Railroad

Medicaid013IL

Medicaid024IL

Medicaid018IL

Medicaid019IL

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 Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP

Clinic/Center (Federally Qualified Health Center (FQHC))

109 CALIFORNIA ST, PO BOX 577
CARTERVILLE, IL 62918

Williamson County (618) 519-9200

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP

Case Management

109 CALIFORNIA ST, PO BOX 577
CARTERVILLE, IL 62918

Williamson County (618) 519-9200

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Case Management

109 CALIFORNIA ST
CARTERVILLE, IL 62918

Williamson County (618) 519-9200

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 1639295314. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 109 California St, Carterville, IL 62918. The listed phone number is (618) 985-8221.

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.

What insurance does Shawnee Health Service And Development Corp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Shawnee Health Service And Development Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawnee Health Service And Development Corp was last updated on April 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.