Shawnee Health Service And Development Corp in Carterville - Family Medicine
Shawnee Health Service And Development Corp - NPI 1245260645
Shawnee Health Service And Development Corp is a Family Medicine in Carterville, Illinois. Shawnee Health Service And Development Corp practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shawnee Health Service And Development Corp is 1245260645. The last update date is 2016-12-23.
Shawnee Health Service And Development Corp's current location address is Po Box 577, Carterville, Illinois. You can contact this provider via phone number 6189858221 and fax number 6189856860. The mailing address for Shawnee Health Service And Development Corp is Po Box 577, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shawnee Health Service And Development Corp |
|---|---|
| Address | Po Box 577, Carterville, Illinois |
| Phone Number | 6189858221 |
| Fax Number | 6189856860 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Jensen Patsy |
| Telephone Number | 6189858221 |
NPI Number Detail
| NPI Number | 1245260645 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2016-12-23 |
Provider Mailing Address Detail
| Address | Po Box 577 |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 629180577 |
| Phone Number | 6189858221 |
| Fax Number | 6189856860 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10032052 | IL | BCBS |
Post Comment/ Review Below
What is the Shawnee Health Service And Development Corp's 1245260645?
The Shawnee Health Service And Development Corp's NPI (National Provider Identifier) Number is 1245260645. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Shawnee Health Service And Development Corp located?
The Shawnee Health Service And Development Corp is located at Po Box 577, Carterville, IL 629180577.
What is Shawnee Health Service And Development Corp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shawnee Health Service And Development Corp is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245260645 to Shawnee Health Service And Development Corp?
The Centers for Medicare & Medicaid Services assigned the 1245260645 to Shawnee Health Service And Development Corp on 2006-07-03.
When was the information regarding Shawnee Health Service And Development Corp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Shawnee Health Service And Development Corp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-12-23.
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