institution
Shawnee Health Service And Development Corp
Federally Qualified Health Center (FQHC) in Marion, Illinois
NPI 1881624161

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 Marion, IL. The NPI Number for Shawnee Health Service And Development Corp is 1881624161 and holds a License No. (Illinois).

The current practice location address for Shawnee Health Service And Development Corp is 1700 Wildcat Dr Ste A, Marion, IL and can be reached out via phone at 618-969-8228 and via fax at 618-998-0880.

Location: 1700 Wildcat Dr Ste A, Marion, IL, 62918-0577
institution
Provider Profile Details
NPI Number
1881624161
Provider Name
Shawnee Health Service And Development Corp
Credential
Provider Entity Type
Organization
Address
1700 Wildcat Dr Ste A, Marion, IL, 62918-0577
Phone Number
618-969-8228
Fax Number
618-998-0880
Provider Enumeration Date
07/03/2006
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
10032052 01 IL BCBS
CF3444 01 IL MEDICARE RR
institution
Provider Business Practice Location Address Details
Address
1700 Wildcat Dr Ste A
City
State
Zip
62959-1513
Phone Number
618-969-8228
Fax Number
618-998-0880
person
Provider Business Mailing Address Details
Address
1700 Wildcat Dr Ste A
City
State
Zip
62959-1513
Phone Number
618-969-8228
Fax Number
618-998-0880
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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