| Shawnee Health Service And Development Corp | |
|
1609 W Main St Marion IL 62959-1145 | |
| (618) 519-9200 | |
| (618) 998-0880 |
| Full Name | Shawnee Health Service And Development Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1609 W Main St, Marion, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Health Service And Development Corp 109 California St Po Box 577 Carterville IL 62918 Ph: (618) 519-9200 | Shawnee Health Service And Development Corp 1609 W Main St Marion IL 62959-1145 Ph: (618) 519-9200 |
| NPI Number | 1407560261 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1658285671 |
|---|---|
| Medicare Enrollment ID | O20230922002355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407560261 | NPI | - | NPPES |
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