Shawnee Health Service & Development Corp
NPI 1174859870 · Federally Qualified Health Center (FQHC) · Carbondale, IL
Shawnee Health Service & Development Corp is a Federally Qualified Health Center (FQHC) organization in Carbondale, IL (NPI 1174859870).
Provider details
- NPI number
- 1174859870
- 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
- Dentist122300000X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Dental Hygienist124Q00000X
Dental Providers
- Dental Assistant126800000X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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 Care, Carbondale Dental
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Shawnee Health Service & Development Corp's NPI number?
- Shawnee Health Service & Development Corp's National Provider Identifier (NPI) is 1174859870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Health Service & Development Corp?
- Shawnee Health Service & Development Corp is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Shawnee Health Service & Development Corp located?
- Shawnee Health Service & Development Corp's practice location on file with NPPES is 402 S. Lewis Lane, Carbondale, IL 62901.
- What is Shawnee Health Service & Development Corp's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Health Service & Development Corp is (618) 519-9901.
- Who is the authorized official for Shawnee Health Service & Development Corp?
- The authorized official listed on Shawnee Health Service & Development Corp's NPPES record is Christina Carney, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Health Service & Development Corp's NPI active?
- Yes — Shawnee Health Service & Development Corp's NPI (1174859870) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.