SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP (NPI# 1639651706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639651706 |
| Entity Type | Organization |
| Organization Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP |
| Other Organization Name | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP IHH |
| Practice Address |
109 California St Carterville IL 62918-1923 |
| Mailing Address |
109 California St Po Box 577 Carterville IL 62918-0577 |
| Practice Telephone | 6185199200 |
| Mailing Telephone | 6185199200 |
| Mailing Fax Number | 6189854635 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | PATSY R JENSEN (CEO) |
| Authorized Official Telephone | 6189858221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Shawnee Health Service and Development Corp IHH | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1006 S Division St, Carterville, IL 629181539 | 6185199200 | |
| 1700 Wildcat Dr, Marion, IL 629591507 | 6185199200 | |
| 400 S Lewis Ln, Carbondale, IL 629013547 | 6185199200 | |
| 1506 Sioux Dr, Marion, IL 629595209 | 6185199200 | |
| 7 S Hospital Dr, Murphysboro, IL 629663333 | 6185199200 | |
| 101 S Wall St, Carbondale, IL 629013021 | 6185199200 | |
| 404 S Lewis Ln, Carbondale, IL 629013547 | 6185199200 | |
| 1301 E Walnut St, Carbondale, IL 629015004 | 6185199200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878967 | Shawnee Health Service and Development Corp | Clinic/Center | 1025 N Wall St Rm 102, Carbondale, IL 62901-1737 | 2019-02-27 |
| 1699232512 | Shawnee Health Service and Development Corp | Clinic/Center | 801 S Lewis Ln Rm 153, Carbondale, IL 62901-3408 | 2019-02-27 |
| 1487111639 | Shawnee Health Service and Development Corp | Clinic/Center | 121 N Parrish Ln Rm 123, Carbondale, IL 62901-2024 | 2019-02-25 |
| 1841757242 | Shawnee Health Service and Development Corp | Clinic/Center | 1150 E Grand Ave Rm 127, Carbondale, IL 62901-3422 | 2019-02-22 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1356677058 | Shawnee Health Service and Development Corp | Dentist | 3115 Williamson County Pkwy, Marion, IL 62959-5235 | 2009-10-30 |
| 1639295314 | Shawnee Health Service and Development Corp | Social Worker | 109 California St, Carterville, IL 62918-0577 | 2007-03-22 |
| 1326079245 | Shawnee Health Service and Development Corp | Clinic/Center | 1301 E Walnut St Rm J120, Carbondale, IL 62901-5004 | 2006-07-06 |
| 1881624161 | Shawnee Health Service and Development Corp | Clinic/Center | 1700 Wildcat Dr Ste A, Marion, IL 62959-1513 | 2006-07-03 |
| 1902447196 | Shawnee Health Service and Development Corp | Clinic/Center | 101 S Wall St, Carbondale, IL 62901-3021 | 2019-09-30 |
| Street Address |
109 CALIFORNIA ST |
| City | CARTERVILLE |
| State | IL |
| Zip Code | 62918-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639295314 | Shawnee Health Service and Development Corp | Social Worker | 109 California St, Carterville, IL 62918-0577 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670298 | Sherrie Ann Harlow | Social Worker | 117 Jeremy Drive, Caterville, IL 62918 | 2020-05-14 |
| 1457879330 | Alex M Witcher | Registered Nurse | 307 Pennsylvania Ave, Carterville, IL 62918 | 2017-08-31 |
| 1841650736 | Celena Lowes | Nurse Practitioner | 900 Logan College Road, Carterville, IL 62918 | 2016-03-04 |
| 1063895365 | Alexander J Ashby | Chiropractor | 1027 South Division Street, Carterville, IL 62918 | 2015-07-06 |
| 1902245095 | The H Group Bbt | Community/Behavioral Health | 403 Commerce Drive, Carterville, IL 62918 | 2013-06-21 |
| 1831311224 | Dental Professionals of Illinois, P.C. | Dentist | 809 South Division, Carterville, IL 62918 | 2007-05-03 |
| 1306067657 | Irene E. Knight | Speech-Language Pathologist | 122 Jeremy Drive, Carterville, IL 62918 | 2007-05-02 |
| 1104987940 | Solutions Counseling & Education Inc | Counselor | 209 W Commercial Dr, Suite H, Carterville, IL 62918 | 2006-12-13 |
| 1023078797 | Deepak Malhotra | Internal Medicine | 1400 Pin Oak Drive, Carterville, IL 62918 | 2006-03-25 |
| 1700373438 | Laboratory Corporation of America | Clinical Medical Laboratory | 1006 S Division St, Carterville, IL 62918 | 2018-04-18 |
| Find all providers in zip 62918 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083083786 | Egyptian Area Agency On Aging, Inc | Case Management | 200 E Plaza Dr, Carterville, IL 62918-1982 | 2015-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505074 | Next Generation Child and Parent Center Nfp | Case Management | 1649 E 50th St Apt 2a, Chicago, IL 60615-6016 | 2020-10-12 |
| 1447866900 | Central Illinois Friends of Pwa, Inc. | Case Management | 120 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-4315 | 2020-09-21 |
| 1629689260 | Shelter, Inc | Case Management | 1616 N Arlington Heights Rd Ste 203, Arlington Heights, IL 60004-3980 | 2020-08-16 |
| 1336758481 | Care Relief LLC | Case Management | 2323 W Pershing Rd Apt 221, Chicago, IL 60609-2230 | 2020-07-24 |
| 1275151649 | Tamarah Carpenter | Case Management | 1508 Lincoln Pl, Calumet City, IL 60409-6229 | 2020-07-11 |
| 1336760156 | Sonarmd, Inc | Case Management | 350 N Orleans St Ste 9000, Chicago, IL 60654-1975 | 2020-05-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1972140960 | Jasmine Healthcare Management LLC | Case Management | 1507 E 53rd St Unit 247, Chicago, IL 60615-4573 | 2019-12-09 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1851957153 | Caring Hands Wellness, LLC | Case Management | 837 Hamlin Ave, Flossmoor, IL 60422-1045 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | CARTERVILLE |
| Zip Code | 62918 |
Please comment or provide details below to improve the information on SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.