SHAWNEE HEALTH CARE, CARTERVILLE – NPI #1811928732
Clinic/Center
SHAWNEE HEALTH CARE, CARTERVILLE is an AHC clinic located in CARTERVILLE, IL. NPPES has assigned the NPI number 1811928732 to SHAWNEE HEALTH CARE, CARTERVILLE on July 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHAWNEE HEALTH CARE, CARTERVILLE” is a dba name, the actual legal business name for this organization is SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC) Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Jul 17, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHAWNEE HEALTH CARE, CARTERVILLE below.
NPI Profile for
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
(about 20 years ago)
CARTERVILLE, IL 62918-1539 Phone: (618) 985-4841 Fax: (618) 985-3774
P O BOX 577
CARTERVILLE, IL 62918-0577 Phone: (618) 985-8221 Fax: (618) 985-6860
CEO
Phone: (618) 956-9521
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for SHAWNEE HEALTH CARE, CARTERVILLE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | BCBS | IL | 10032052 |
| other | MEDICARE RR | IL | CF3444 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
||
| 207VX0000X - Obstetrics & Gynecology / Obstetrics |
IL | |
| 207Q00000X - Family Medicine |
||
| 124Q00000X - Dental Hygienist |
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| 1223G0001X - Dentist / General Practice |
||
| 1041C0700X - Social Worker / Clinical |
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| 101YM0800X - Counselor / Mental Health |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.