Shawnee Health Service and Development Corp

NPI #1881624161 in Marion, Illinois

Provider Information

NPI Number
1881624161
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
Jul 3, 2006
Last Updated
Jul 17, 2024

Practice Location

Address
1700 WILDCAT DR STE A
City
Marion
ZIP Code
62959-1513
Phone
(618) 969-8228

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine
Dentist - General PracticeGeneral Practice
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical
Dental Hygienist
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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Shawnee Health Service and Development Corp

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