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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI 1083328843


NPI Information

NPI: 1083328843
Provider Name: SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Doing Business As: WASHINGTON MIDDLE SCHOOL HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 E 12TH ST
JOHNSTON CITY, IL
ZIP 62951
Phone: (618) 519-9200
Get Directions

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a family medicine in Johnston City, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI is 1083328843. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Washington Middle School Health Center.

The provider's business location address is:

100 E 12TH ST
JOHNSTON CITY, IL
ZIP 62951-513
Phone: (618) 519-9200
Fax: (618) 998-0880

The provider's authorized official is Christina Carney .
The authorized official title is Ceo and has the following contact phone number (618) 956-9521.

The enumeration date for this NPI number is 1/6/2023 and was last updated on 4/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
21223G0001XDentistGeneral PracticeNo
3124Q00000XDental HygienistNo
4207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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