SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP – NPI #1235780982
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Health Care Provider Taxonomy Code for Clinic/Center

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is an AHC clinic located in CARTERVILLE, IL. NPPES has assigned the NPI number 1235780982 to SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP on September 24, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Methadone

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 SERVICE AND DEVELOPMENT CORP below.

NPI Profile for
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

NPI Number
1235780982
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Primary location
1006 S DIVISION ST
CARTERVILLE, IL 62918-1539
Phone: (618) 519-9200 Fax: (618) 985-3774
Mailing address
PO BOX 577
109 CALIFORNIA ST
CARTERVILLE, IL 62918-0577
Phone: (618) 519-9200 Fax: (618) 985-4635
Organization Subpart
Yes - SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is subpart of another organization.
Authorized Official
PATSY JENSEN
CEO
Phone: (618) 956-9508
Updated
Taxonomy Code(s)

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
261QM2800X
- Clinic/Center / Methadone (Primary)

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.