NPIMap

Shawnee Health Service and Development Corp

A Medicare group practice based in Marion, IL: 23 NPIs enrolled under one PECOS associate control ID (PAC ID 1658285671), with 62 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1658285671The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
IL
Enrollments
22
Group size
51 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
45In 6 places

Enrollment records 22

Enrollment IDStateProvider typeNPI
O20031120000454 IL Part B Supplier - Clinic/Group Practice 1639295314
O20050531000218 IL Part A Provider - Federally Qualified Health Center (FQHC) 1811928732
O20050531000530 IL Part A Provider - Federally Qualified Health Center (FQHC) 1457381774
O20050531000505 IL Part A Provider - Federally Qualified Health Center (FQHC) 1245260645
O20050511000210 IL Part A Provider - Federally Qualified Health Center (FQHC) 1326079245
O20050322000962 IL Part A Provider - Federally Qualified Health Center (FQHC) 1881624161
O20090916000489 IL Part A Provider - Federally Qualified Health Center (FQHC) 1649405150
O20100119000507 IL Part A Provider - Federally Qualified Health Center (FQHC) 1073745345
O20170605001832 IL Part A Provider - Federally Qualified Health Center (FQHC) 1285185173
O20240815000243 IL Part B Supplier - Pharmacy 1043654163
O20230830001809 IL Part A Provider - Federally Qualified Health Center (FQHC) 1013620160
O20230919002401 IL Part A Provider - Federally Qualified Health Center (FQHC) 1114631967
O20230922002355 IL Part A Provider - Federally Qualified Health Center (FQHC) 1407560261
O20231005002169 IL Part A Provider - Federally Qualified Health Center (FQHC) 1043902752
O20230919002120 IL Part A Provider - Federally Qualified Health Center (FQHC) 1982318739
O20230919001791 IL Part A Provider - Federally Qualified Health Center (FQHC) 1356055107
O20230807001109 IL Part A Provider - Federally Qualified Health Center (FQHC) 1245944008
O20230802000606 IL Part A Provider - Federally Qualified Health Center (FQHC) 1053002907
O20230509000467 IL Part A Provider - Federally Qualified Health Center (FQHC) 1487111639
O20230510000929 IL Part A Provider - Federally Qualified Health Center (FQHC) 1699232512
O20230505002023 IL Part A Provider - Federally Qualified Health Center (FQHC) 1053878967
O20230505001407 IL Part A Provider - Federally Qualified Health Center (FQHC) 1841757242

NPIs in this group 23

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 62

Clinicians who reassign their Medicare benefits to this group (54) or whom Care Compare lists as members (51).

Sources for this page