Shawnee Health Service and Development Corp
NPI #1285185173 in Carbondale, Illinois
Provider Information
- NPI Number
- 1285185173
- 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
- Oct 17, 2016
- Last Updated
- Aug 5, 2024
Practice Location
- Address
- 404 S. LEWIS LANE
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901
- Phone
- (618) 519-9200
Authorized Official
- Name
- CHRISTINA CARNEY
- Title
- CEO
- Phone
- (618) 956-9521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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