Organization · Type 2 NPI
Shawnee Health Service and Development Corp
Federally Qualified Health Center (FQHC) · Carbondale, IL
NPI number
1699232512
Active
Practice location
801 S Lewis Ln Rm 153
Carbondale, IL 62901-3408
Fax (618) 457-8931
Mailing address
109 California St., PO Box 577
Carterville, IL 62918-0577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Hygienist | 124Q00000X | 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 Carbondale
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- Solvera Healthcare Center IncFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1144008939
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- Community Health & Emergency Services, Inc.Federally Qualified Health Center (FQHC) Carbondale, IL NPI 1316939929
- Shawnee Health Service and Development CorpFederally Qualified Health Center (FQHC) Carbondale, IL NPI 1326079245
About NPI 1699232512
Shawnee Health Service and Development Corp's National Provider Identifier is 1699232512, issued on Feb 27, 2019. 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.