Organization · Type 2 NPI
Shawnee Health Service and Development Corp
Federally Qualified Health Center (FQHC) · Carbondale, IL
NPI number
1326079245
Active
Practice location
1301 E Walnut St Rm J120
Carbondale, IL 62901-5004
Fax (618) 457-8931
Mailing address
109 California St, P O Box 577
Carterville, IL 62918-0577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Hygienist | 124Q00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Carbondale
- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1053878967
- Community Health & Emergency Services, IncFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1073572350
- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1073745345
- Solvera Healthcare Center IncFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1144008939
- Shawnee Health Service & Development CorpFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1174859870
- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1285185173
- Community Health & Emergency Services, Inc.Federally Qualified Health Center (FQHC) Carbondale, IL NPI 1316939929
- Board of Trustees of Southern Illinois UniversityFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1437708674
About NPI 1326079245
Shawnee Health Service and Development Corp's National Provider Identifier is 1326079245, issued on Jul 6, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carbondale, IL. The record was last updated on Jul 29, 2024.