Shawnee Health Service And Development Corp is an authorized DME supplier for medicare equipments and products.
Shawnee Health Service And Development Corp is a Federally Qualified Health Center (FQHC) in Carterville, Illinois. It is located at 109 California St, Carterville and it's customer support contact number is 618-985-8221. The authorized person of Shawnee Health Service And Development Corp is Christina Carney who is Ceo of the pharmacy and his contact number is 618-956-9521.Shawnee Health Service And Development Corp accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Shawnee Health Service And Development Corp is definition to come...
Pharmacy Details:
Shawnee Health Service And Development Corp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Shawnee Health Service And Development Corp
Type:
Federally Qualified Health Center (FQHC)
Location:
109 California St, Carterville, Illinois, 62918-0577
Phone:
618-985-8221
Fax:
618-985-6860
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Christina Carney
Position:
Ceo
Contact Number:
618-956-9521
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1639295314
NPI Enumeration Date:
22 Mar, 2007
NPI Last Update On:
05 Apr, 2024
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shawnee Health Service And Development Corp are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Primary
Clinical
Illinois
Secondary
Dentist
Illinois
Secondary
Dental Hygienist
Illinois
Secondary
Dental Assistant
Illinois
Secondary
Dietitian, Registered
Illinois
Secondary
Family Medicine
Illinois
Secondary
Adolescent Medicine
Illinois
Secondary
Pulmonary Disease
Illinois
Secondary
Obstetrics & Gynecology
Illinois
Secondary
Pediatrics
Illinois
Secondary
Neurology
Illinois
Secondary
Community/Retail Pharmacy
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
022
Medicaid
Illinois
020
Medicaid
Illinois
640701
Other
Medicare Part B Group Id
10032052
Other
Illinois
Blue Cross Blue Shield
CF3444
Other
Illinois
Medicare Railroad
013
Medicaid
Illinois
024
Medicaid
Illinois
018
Medicaid
Illinois
019
Medicaid
Illinois
Medicare Enrollment:
Shawnee Health Service And Development Corp is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
1658285671
O20031120000454
Shawnee Health Service And Development Corp
PART B SUPPLIER - CLINIC/GROUP PRACTICE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
109 California St, P O Box 577 Carterville, Illinois
Zip:
62918-0577
Phone Number:
618-985-8221
Fax Number:
618-985-6860
Patients can reach Shawnee Health Service And Development Corp at 109 California St, Carterville, Illinois or can call on customer care at 618-985-8221.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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