Shawnee Health Service and Development Corp

NPI #1841903895 in Johnston City, Illinois

Provider Information

NPI Number
1841903895
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
Family Medicine
Enumeration Date
Jan 4, 2023
Last Updated
Apr 9, 2024

Practice Location

Address
1108 GRAND AVE
ZIP Code
62951-1229
Phone
(618) 519-9200

Authorized Official

Name
CHRISTINA CARNEY
Title
CEO
Phone
(618) 956-9521

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health
Dentist - General PracticeGeneral Practice
Dental Hygienist
Family Medicine

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Organizations

Provider Name
Shawnee Health Service and Development Corp

Part of Shawnee Health Service and Development Corp

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Shawnee Health Service and Development Corp

Part of Shawnee Health Service and Development Corp

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