Shawnee Health Service and Development Corp
Doing business as Terrier Care
Federally qualified health center in Carbondale, IL, Medicare certification number 141016.
Medicare certification
Provider of Services- CCN
- 141016
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – partnership
- Participating since
- Jul 18, 2005
- Last certification
- Jul 18, 2005
- Address
- 1301 East Walnut Street, Room J120
Carbondale, IL 62902
(618) 457-3371
NPI records for this facility (CCN to NPI Mapping) 2
-
dba Terrier Care
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1326079245
Medicare enrollment -
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1639295314
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.