institution
Shawnee Health Service And Development Corp
Federally Qualified Health Center (FQHC) in Carbondale, Illinois
NPI 1841757242

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 1841757242 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service And Development Corp is 1150 E Grand Ave Rm 127, Carbondale, IL and can be reached out via phone at 618-519-9200 and via fax at 618-457-8931.

Location: 1150 E Grand Ave Rm 127, Carbondale, IL, 62918-0577
institution
Provider Profile Details
NPI Number
1841757242
Provider Name
Shawnee Health Service And Development Corp
Credential
Provider Entity Type
Organization
Address
1150 E Grand Ave Rm 127, Carbondale, IL, 62918-0577
Phone Number
618-519-9200
Fax Number
618-457-8931
Provider Enumeration Date
02/22/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1150 E Grand Ave Rm 127
City
State
Zip
62901-3422
Phone Number
618-519-9200
Fax Number
618-457-8931
person
Provider Business Mailing Address Details
Address
1150 E Grand Ave Rm 127
City
State
Zip
62901-3422
Phone Number
618-519-9200
Fax Number
618-457-8931
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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