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Organization

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP

Active
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Organization

SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP

Active
Parent organization
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
Other names
Murphysboro Wellness Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
SHAWNEE HEALTH SERVICE & DEVELOPMENT CORP
Authorized official
JEFFREY COOPER (CEO)
(618) 956-9513
Entity
Organization

Contact information

Practice address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918
(618) 519-9200
(618) 985-4635
Mailing address
2125 SPRUCE ST, DOOR W3, MURPHYSBORO, IL 62966

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
07/08/2026
Last updated
07/08/2026
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