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Shawnee Health Service and Development Corp — NPI 1902447196, Carbondale, IL | NPI Central

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NPI 1902447196

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Shawnee Health Service and Development Corp

NPI 1902447196 · Methadone Clinic · Carbondale, IL

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

Methadone ClinicPrimary261QM2800X
Ambulatory Health Care Facilities

Practice location

101 S Wall St

Carbondale, IL 62901-3021

Phone: (618) 519-9200

Fax: (618) 519-9404

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

Po Box 577

Carterville, IL 62918-0577

Other names (DBA / former)

Doing business as: Shawnee Health Care, Ob/Gyn Sud

Registry dates

Enumerated: 2019-09-30
Last updated: 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.