SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI 1366156150

NPI Information

NPI: 1366156150
Provider Name: SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Doing Business As: MOBILE UNIT 1

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
508 N AIRPORT RD
MURPHYSBORO, IL
ZIP 62966
Phone: (618) 519-9200
Get Directions

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a federally qualified health center (fqhc) clinic center in Murphysboro, IL. SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI is 1366156150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mobile Unit 1.

The provider's business location address is:

508 N AIRPORT RD
MURPHYSBORO, IL
ZIP 62966-003
Phone: (618) 519-9200

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 4/5/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	1223G0001X	Dentist	General Practice	No
3	124Q00000X	Dental Hygienist		No
4	207Q00000X	Family Medicine		No
5	207V00000X	Obstetrics & Gynecology		No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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

NPI Synchronization or Removal

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