Organization · Type 2 NPI
Shawnee Health Service and Development Corp
Federally Qualified Health Center (FQHC) · Carterville, IL
NPI number
1366156150
Active
Practice location
109 W Commercial Dr
Carterville, IL 62918-1936
Mailing address
109 California St, PO Box 577
Carterville, IL 62918
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 |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Carterville
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- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carterville, IL NPI 1639295314
- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carterville, IL NPI 1811928732
About NPI 1366156150
Shawnee Health Service and Development Corp's National Provider Identifier is 1366156150, issued on Jan 6, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Carterville, IL. The record was last updated on Apr 15, 2025.