Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Shawnee Health Service and Development Corp

Federally Qualified Health Center (FQHC) in Carbondale, IL · enumerated 2006 · authorized official Christina Carney, Ceo.

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

National Provider Identifier

1326079245

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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 1301 E Walnut St Rm J120, Carbondale, IL, 62901

Phone (618) 457-3371

Fax (618) 457-8931

Enumeration date Jul 6, 2006

Last updated in NPPES Jul 29, 2024

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

1223G0001X General Practice Dentistry Dental Providers Secondary

124Q00000X Dental Hygienist Dental Providers Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Christina Carney

Title Ceo

Phone (618) 956-9521

Other identifiers

Identifier	Type	State	Issuer
640702	Other	-	MEDICARE GROUP NUMBER

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 2024-07-29. 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.

Providers at this address

Browse all →

Felicia Kimbrough Nurse Practitioner · Carbondale, IL NPI 1679740708 John Keehn Clinical Social Worker · Carbondale, IL NPI 1275265100

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-29.