Jefferson Elementary School Health Center

LBN: Shawnee Health Service And Development Corp
Jefferson Elementary School Health Center is an health care organization with primary practice located at 1108 Grand Ave , Johnston City IL 62951-1229. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Shawnee Health Service And Development Corp can be contacted via phone (618) 519-9200, or through Carney, Christina via phone (618) 956-9521.

Contact Information

Primary practice address
1108 Grand Ave Johnston City IL 62951-1229
Phone: (618) 519-9200
Fax: (618) 985-4635
Website:
Map and Directions
Authorized official contact:
Name: Carney, Christina
Phone: (618) 956-9521

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1841903895
LBN Legal business name Shawnee Health Service And Development Corp
DBA Doing business as Jefferson Elementary School Health Center
Authorized official Carney, Christina
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 4th, 2023
Last updated Apr 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers