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SHAWNEE HEALTH CARE, CARTERVILLE
NPI 1811928732
Clinic/Center - Federally Qualified Health Center (FQHC) in Carterville, IL

Active since July 06, 2006
1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 985-4841(618) 985-3774 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2024, Apr 4, 2024, Dec 23, 2016 and 1 more (4 updates tracked since 2016).

About Shawnee Health Care, Carterville NPPES

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

SHAWNEE HEALTH CARE, CARTERVILLE (NPI 1811928732) is a healthcare organization registered as a federally qualified health center (fqhc) in Carterville, Illinois and active in the NPI registry since July 2006. The organization lists Christina Carney, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811928732
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address1006 S DIVISION STCarterville, IL 62918-1539
Mailing Address109 California St, P O Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-6860
Phone(618) 985-4841
Fax(618) 985-3774
Organization SubpartYes
Authorized OfficialChristina CarneyCeo · (618) 956-9521
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 17, 20244 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1811928732 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 & Gynecology · ObstetricsTaxonomy 207VX0000X
1006 S DIVISION ST, Carterville, IL 62918
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Other Names 1

Doing Business AsShawnee Health Care, Carterville

Other Identifiers 2

Other10032052IL · Bcbs
OtherCF3444IL · Medicare Rr

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 17

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

KATIE SURMAN RD
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
AMANDA ELLIS LCPC
Counselor (Mental Health)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Clinic/Center (Methadone)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
KAIF MOHAMMED YUSUF MANSURI M.D.
Family Medicine
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
CONNIE E DEEN LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841
ALEXANDRIA MARKEL LCPC
Counselor (Mental Health)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
MR. DAVID VACCARO MSW, LCSW
Social Worker (Clinical)
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 519-9200
LACIE DIANE HAWKINS RD-LDN
Dietitian, Registered
1006 S DIVISION ST
CARTERVILLE, IL 62918
Williamson County (618) 985-4841

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 1811928732. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Shawnee Health Care, Carterville.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 1006 S Division St, Carterville, IL 62918. The listed phone number is (618) 985-4841.

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 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 July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.