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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI 1902447196
Clinic/Center - Methadone in Carbondale, IL

Active since September 30, 2019
101 S WALL ST, CARBONDALE, IL 62901(618) 519-9200(618) 519-9404 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1902447196), doing business as Shawnee Health Care, Ob/gyn Sud, is a healthcare organization registered as a methadone in Carbondale, Illinois and active in the NPI registry since September 2019. The organization lists Patsy R Jensen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902447196
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameSHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Location Address101 S WALL STCarbondale, IL 62901-3021
Mailing AddressPo Box 577, 109 California StCarterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 519-9404
Organization SubpartYes
Authorized OfficialPatsy R JensenCeo · (618) 956-9508
Enumeration DateSeptember 30, 2019
✔ NPI 1902447196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
101 S WALL ST, Carbondale, IL 62901
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Other Names 1

Doing Business AsShawnee Health Care, Ob/gyn Sud

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
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LINDSAY MILLER LCPC
Counselor (Mental Health)
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 529-0991
JANET ROBINSON MD
Family Medicine (Adolescent Medicine)
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 529-2621
MRS. ELIZABETH ANNE JOLLIFF CNM
Advanced Practice Midwife
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 519-9200
AMY M WYATT DMD
Dentist
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 529-2621
RACHAEL WERNSMAN CNM
Advanced Practice Midwife
101 S WALL ST
CARBONDALE, IL 62901
Jackson County (618) 519-9200
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Clinic/Center (Federally Qualified Health Center (FQHC))
101 S WALL ST
CARBONDALE, IL 62901
Jackson 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 1902447196. It was assigned to this organization in the NPPES registry on September 30, 2019. The provider is doing business as Shawnee Health Care, OB/GYN SUD.

Where is Shawnee Health Service And Development Corp located?

Shawnee Health Service And Development Corp is located at 101 S Wall St, Carbondale, IL 62901. 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 Methadone, with taxonomy code 261QM2800X.

When was this NPI record last updated?

The NPPES record for Shawnee Health Service And Development Corp was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.