NPI: 1649405150
Provider Name: SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Doing Business As: SHAWNEE HEALTH CARE, MARION
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
3111 WILLIAMSON COUNTY PARKWAY
MARION, IL
ZIP 62959
Phone: (618) 997-5270
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SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is a federally qualified health center (fqhc) clinic center in Marion, IL. SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP NPI is 1649405150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shawnee Health Care, Marion.
The provider's business location address is:
3111 WILLIAMSON COUNTY PARKWAY
MARION, IL
ZIP 62959-209
Phone: (618) 997-5270
Fax: (618) 985-9155
The provider's authorized official is Patsy Jensen .
The authorized official title is Chief Executive Director and has the following contact phone number (618) 956-9508.
The enumeration date for this NPI number is 5/28/2009 and was last updated on 2/27/2020.