Organization · Type 2 NPI

Shawnee Health Service and Development Corp

Federally Qualified Health Center (FQHC) · Carterville, IL

NPI number 1811928732 Active

Practice location

1006 S Division St
Carterville, IL 62918-1539

Call (618) 985-4841 Map

Fax (618) 985-3774

Mailing address

109 California St, P O Box 577
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
General Practice Dentistry 1223G0001XNone listed
Dental Hygienist 124Q00000XNone listed
Family Medicine Physician 207Q00000XNone listed
Obstetrics Physician 207VX0000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

17 other providers at this address

Other federally qualified health center (fqhc) providers in Carterville

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About NPI 1811928732

Shawnee Health Service and Development Corp's National Provider Identifier is 1811928732, issued on Jul 6, 2006. 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 Jul 17, 2024.