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Shawnee Health Service And Development Corp
Federally Qualified Health Center (FQHC) in Carbondale, Illinois
NPI 1326079245

Shawnee Health Service And Development Corp is a Federally Qualified Health Center (FQHC) based in Carterville, IL and is specialized in Federally Qualified Health Center (FQHC). Shawnee Health Service And Development Corp practices in Carbondale, IL. The NPI Number for Shawnee Health Service And Development Corp is 1326079245 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service And Development Corp is 1301 E Walnut St Rm J120, Carbondale, IL and can be reached out via phone at 618-457-3371 and via fax at 618-457-8931.

Location: 1301 E Walnut St Rm J120, Carbondale, IL, 62918-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326079245
Provider Name
Shawnee Health Service And Development Corp
Credential
Provider Entity Type
Organization
Address
1301 E Walnut St Rm J120, Carbondale, IL, 62918-0577
Phone Number
618-457-3371
Fax Number
618-457-8931
Provider Enumeration Date
07/06/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
640702 01 MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1301 E Walnut St Rm J120
City
Carbondale
State
Illinois
Zip
62901-5004
Phone Number
618-457-3371
Fax Number
618-457-8931
person
Provider Business Mailing Address Details
Address
1301 E Walnut St Rm J120
City
Carbondale
State
Illinois
Zip
62901-5004
Phone Number
618-457-3371
Fax Number
618-457-8931
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 4
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 6
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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