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Shawnee Health Service and Development Corp

Federally Qualified Health Center (FQHC) in Carterville, IL · enumerated 2007 · authorized official Christina Carney, Ceo.

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

National Provider Identifier

1639295314

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Registry record

Entity type Organization (Type 2)
Legal business name Shawnee Health Service and Development Corp
Practice address 109 California St, Carterville, IL, 62918
Phone (618) 985-8221
Fax (618) 985-6860
Enumeration date Mar 22, 2007
Last updated in NPPES Apr 5, 2024

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
124Q00000X Dental Hygienist Dental Providers Secondary
126800000X Dental Assistant Dental Providers Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207QA0000X Adolescent Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Christina Carney
Title Ceo
Phone (618) 956-9521

Other identifiers

Identifier Type State Issuer
022 Medicaid IL -
020 Medicaid IL -
640701 Other - MEDICARE PART B GROUP ID
10032052 Other IL BLUE CROSS BLUE SHIELD
CF3444 Other IL MEDICARE RAILROAD
013 Medicaid IL -
024 Medicaid IL -
018 Medicaid IL -
019 Medicaid IL -

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

Where is Shawnee Health Service and Development Corp located?
The practice location on file with NPPES is in Carterville, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-04-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-05.