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Organization

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Active
Parent organization
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Other names
Marion Jr High School Health Center
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
1609 W MAIN ST, MARION, IL 62959-1145
(618) 519-9200
(618) 998-0880
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918
(618) 519-9200
(618) 985-6860

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
1223G0001X
General Practice Dentistry
124Q00000X
Dental Hygienist
207Q00000X
Family Medicine Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
01/06/2023
Last updated
07/29/2024
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