Shawnee Health Service and Development Corp
Shawnee Health Service and Development Corp is a Mental Health Counselor in Johnston City, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 4
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1108 Grand AveJohnston City, IL 62951-1229
Phone: (618) 519-9200
Fax: (618) 985-4635
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
| General Practice Dentistry | Taxonomy 1223G0001X |
| Dental Hygienist | Taxonomy 124Q00000X |
Record details
| NPI number | 1841903895 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Shawnee Health Service and Development Corp |
| Authorized official | Christina Carney — Ceo · (618) 956-9521 |
| Other names | Jefferson Elementary School Health Center; Jefferson Elementary School Health Center |
| NPI enumerated | January 4, 2023 |
| Last updated in NPPES | April 9, 2024 |
| Certification date | April 9, 2024 |
| Mailing address | 109 California St, Po Box 577, Carterville, IL 62918 |
Other providers in Johnston City
-
Shawnee Health Service and Development Corp
100 E 12th St, Johnston City, IL 62951-1513 · (618) 519-9200
-
Shawnee Health Service and Development Corp
1500 Jefferson Ave, Johnston City, IL 62951-1501 · (618) 519-9200