Shawnee Health Service and Development Corp
NPI 1053002907 · Federally Qualified Health Center (FQHC) · Carterville, IL
Provider details
- NPI number
- 1053002907
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Shawnee Health Service and Development Corp
- Organization subpart
- Yes
- Authorized official
- Christina Carney, Ceo(618) 956-9521
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shawnee Health Social Services
- Doing business as
- Shawnee Health Social Services
Registry dates
- Enumerated
- 2023-05-19
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.