Shawnee Health Service And Development Corp in Carterville - Pulmonary Disease
Shawnee Health Service And Development Corp - NPI 1639295314
Shawnee Health Service And Development Corp is a Pulmonary Disease in Carterville, Illinois. Shawnee Health Service And Development Corp practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Shawnee Health Service And Development Corp is 1639295314. The last update date is 2018-12-19.
Shawnee Health Service And Development Corp's current location address is 109 California St, 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 109 California St, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Shawnee Health Service And Development Corp |
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Address | 109 California St, Carterville, Illinois |
Phone Number | 6189858221 |
Fax Number | 6189856860 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Jensen Patsy |
Telephone Number | 6189569508 |
NPI Number Detail
NPI Number | 1639295314 |
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Provider Enumeration Date | 2007-03-22 |
Last Updated Date | 2018-12-19 |
Provider Mailing Address Detail
Address | 109 California St |
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City | Carterville |
State | Illinois (IL) |
Post Code | 629180577 |
Phone Number | 6189858221 |
Fax Number | 6189856860 |
Provider's Primary Taxonomy Detail
Speciality | Pulmonary Disease |
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Taxonomy | 207Rp1001X |
Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
24 | IL | -- | |
10032052 | IL | BLUE CROSS BLUE SHIELD | |
640701 | MEDICARE PART B GROUP ID | ||
CF3444 | IL | MEDICARE RAILROAD | |
20 | IL | -- | |
13 | IL | -- | |
18 | IL | -- | |
19 | IL | -- | |
22 | IL | -- |
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What is the unique 10-digit identification code issued to Shawnee Health Service And Development Corp by the Centers for Medicare & Medicaid Services?
The Shawnee Health Service And Development Corp has been assigned the NPI (National Provider Identifier) 1639295314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Shawnee Health Service And Development Corp located?
The Shawnee Health Service And Development Corp is located at 109 California St, Carterville, IL 629180577.
What is Shawnee Health Service And Development Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shawnee Health Service And Development Corp is Pulmonary Disease, and the taxonomy code that categorizes this field of expertise is 207Rp1001X.
When did Shawnee Health Service And Development Corp receive its 1639295314 assignment?
The Shawnee Health Service And Development Corp was assigned its 1639295314 on 2007-03-22, which is the date when this unique identifier was issued to the organization.
When was the Shawnee Health Service And Development Corp's information last updated?
The Shawnee Health Service And Development Corp's information was last updated on 2018-12-19.