Shawnee Health Service and Development Corp
NPI #1073745345 in Carbondale, Illinois
Provider Information
- NPI Number
- 1073745345
- Entity Type
- Organization
- Organization Name
- Shawnee Health Service and Development Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Jul 17, 2024
Practice Location
- Address
- 400 S LEWIS LN
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901-3547
- Phone
- (618) 519-9900
Authorized Official
- Name
- CHRISTINA CARNEY
- Title
- CEO
- Phone
- (618) 956-9521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Counselor - Mental Health — Mental Health |
| Dental Hygienist |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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| Shawnee Health Service and Development Corp Part of Shawnee Health Service and Development Corp |  AI Deep Dive |
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| Shawnee Health Service & Development Corp Part of Shawnee Health Service and Development Corp | AI Deep Dive |
| Shawnee Health Service and Development Corp Part of Shawnee Health Service and Development Corp | AI Deep Dive |
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