Shawnee Health Service and Development Corp
NPI 1902447196 · Methadone Clinic · Carbondale, IL
Shawnee Health Service and Development Corp is a Methadone Clinic organization in Carbondale, IL (NPI 1902447196).
Provider details
- NPI number
- 1902447196
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Parent organization
- Shawnee Health Service and Development Corp
- Organization subpart
- Yes
- Authorized official
- Patsy Jensen, Ceo(618) 956-9508
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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, Ob/Gyn Sud
Registry dates
- Enumerated
- 2019-09-30
- Last updated
- 2019-09-30
Frequently asked questions
- What is Shawnee Health Service and Development Corp's NPI number?
- Shawnee Health Service and Development Corp's National Provider Identifier (NPI) is 1902447196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shawnee Health Service and Development Corp?
- Shawnee Health Service and Development Corp is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Shawnee Health Service and Development Corp located?
- Shawnee Health Service and Development Corp's practice location on file with NPPES is 101 S Wall St, Carbondale, IL 62901-3021.
- What is Shawnee Health Service and Development Corp's phone number?
- The practice phone number listed in the NPPES registry for Shawnee Health Service and Development Corp is (618) 519-9200.
- Who is the authorized official for Shawnee Health Service and Development Corp?
- The authorized official listed on Shawnee Health Service and Development Corp's NPPES record is Patsy Jensen, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shawnee Health Service and Development Corp's NPI active?
- Yes — Shawnee Health Service and Development Corp's NPI (1902447196) is active in the NPPES registry as of the last update on 2019-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.