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Shawnee Health Service and Development Corp

Federally Qualified Health Center (FQHC) in Carbondale, IL · enumerated 2016 · authorized official Christina Carney, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285185173

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Registry record

Entity type Organization (Type 2)
Legal business name Shawnee Health Service and Development Corp
Other name <Unavail>
Parent organization Shawnee Health Service and Development Corp
Practice address 404 S. Lewis Lane, Carbondale, IL, 62901
Fax (618) 549-1288
Enumeration date Oct 17, 2016
Last updated in NPPES Aug 5, 2024

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License H80CS00667 (IL) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License H80CS00667 (IL) Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Christina Carney
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-08-05. Verify at npiregistry.cms.hhs.gov.
Where is Shawnee Health Service and Development Corp located?
The practice location on file with NPPES is in Carbondale, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-05.