NPI:
1457381774
Provider Name:
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Doing Business As: SHAWNEE HEALTH CARE, OB/GYN
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
101 S WALL ST
CARBONDALE, IL
ZIP 62901
Phone:
(618) 519-9200
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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a federally qualified health center (fqhc) clinic center in Carbondale, IL. SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI is 1457381774. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shawnee Health Care, Ob/gyn.
The provider's business location address is:
101 S WALL ST
CARBONDALE, IL
ZIP 62901-021
Phone: (618) 519-9200
Fax: (618) 519-9404
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 7/3/2006 and was last updated on 4/5/2024.