Shawnee Health Service And Development Corp

NPI Registration Record

Provider / Organization	NPI	Date Certified
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP	1699232512	2019-02-27

The organization Shawnee Health Service And Development Corp is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1699232512. Registration indicates Shawnee Health Service And Development Corp is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) (Dental Providers, Dental Hygienist) (Dental Hygienist, ) (Dental Hygienist, Dental Providers) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Federally Qualified Health Center (FQHC),, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Federally Qualified Health Center (FQHC),, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:

• Lewis School Health Center

Entity Type	Organization
Provider Organization	SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Other Provider Organization	LEWIS SCHOOL HEALTH CENTER
Practice Office Address	801 S LEWIS LN RM 153 CARBONDALE, IL US
Practice Office Telephone	6185199200
Practice Office Fax	6184578931
Mailing Address	109 CALIFORNIA ST. PO BOX 577 CARTERVILLE, IL 629180577 US
Business Telephone	6189858221
Business Fax	6189856860
Authorized Official	CHRISTINA CARNEY, CEO 6189569521

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