Organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Active
Parent organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Other names
Shawnee Health Care, Marion Dental, Shawnee Health, Children's Dental Center - General Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Authorized official
CHRISTINA CARNEY (CEO)
(618) 956-9521
Entity
Organization
Contact information
Practice address
3115 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5235
(618) 969-8600
(618) 997-1214
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-6860
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
IL
1223P0221X
Pediatric Dentistry
—
IL
124Q00000X
Dental Hygienist
—
IL
126800000X
Dental Assistant
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
12/10/2025
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