SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI 1902447196
Clinic/Center - Methadone in Carbondale, IL
- Organization
- Clinic/Center
- Methadone
About SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
This page provides the complete NPI Profile along with additional information for Shawnee Health Service And Development Corp, a provider established in Carbondale, Illinois operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1902447196 assigned on September 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Patsy R Jensen (Ceo)
- NPI
- 1902447196 Verify this NPI
- Provider Name
- SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- Entity Type
- Organization
- Location Address
- 101 S WALL ST CARBONDALE, IL 62901
- Location Phone
- (618) 519-9200
- Location Fax
- (618) 519-9404
- Mailing Address
- PO BOX 577 109 CALIFORNIA ST CARTERVILLE, IL 62918
- Mailing Phone
- (618) 519-9200
- Mailing Fax
- (618) 985-4635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-30-2019
- Last Update Date
- 09-30-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
CARBONDALE, IL 62901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902447196, enumerated as an "organization" on September 30, 2019.
The provider is located at 101 S WALL ST CARBONDALE, IL 62901 and the phone number is (618) 519-9200.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
