Shawnee Health Service And Development Corp in Marion - Federally Qualified Health Center (fqhc)
Shawnee Health Service And Development Corp - NPI 1881624161
Shawnee Health Service And Development Corp is a Federally Qualified Health Center (fqhc) in Marion, Illinois. Shawnee Health Service And Development Corp practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Shawnee Health Service And Development Corp is 1881624161. The last update date is 2018-10-12.
Shawnee Health Service And Development Corp's current location address is 1700 Wildcat Dr Ste A, Marion, Illinois. You can contact this provider via phone number 6189977273 and fax number 6189978978. The mailing address for Shawnee Health Service And Development Corp is 1700 Wildcat Dr Ste A, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shawnee Health Service And Development Corp |
|---|---|
| Address | 1700 Wildcat Dr Ste A, Marion, Illinois |
| Phone Number | 6189977273 |
| Fax Number | 6189978978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jensen Patsy |
| Telephone Number | 6189569508 |
NPI Number Detail
| NPI Number | 1881624161 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2018-10-12 |
Provider Mailing Address Detail
| Address | 1700 Wildcat Dr Ste A |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 6295915130 |
| Phone Number | 6189977273 |
| Fax Number | 6189978978 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CF3444 | IL | MEDICARE RR | |
| 10032052 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shawnee Health Service And Development Corp by the Centers for Medicare & Medicaid Services?
The Shawnee Health Service And Development Corp has been issued the NPI (National Provider Identifier) 1881624161, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shawnee Health Service And Development Corp?
The Shawnee Health Service And Development Corp is situated at 1700 Wildcat Dr Ste A, in the city of Marion, state of IL, with the zip code 6295915130.
What is Shawnee Health Service And Development Corp's area of expertise and its corresponding taxonomy classification?
The Shawnee Health Service And Development Corp's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1881624161 assigned to Shawnee Health Service And Development Corp?
The Shawnee Health Service And Development Corp was issued its 1881624161 on 2006-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shawnee Health Service And Development Corp most recently updated or revised?
The details related to Shawnee Health Service And Development Corp, including its address, specialty, and other relevant information, were last updated or revised on 2018-10-12.