Organization provider

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP

Federally Qualified Health Center (FQHC) Family Medicine Physician Mental Health Counselor Medicare enrolled

SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1013620160, based in Creal Springs, IL. The organization lists 6 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.

Getting there

The practice address on file is 15470 LAKE OF EGYPT RD, Creal Springs, IL 62922. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

15470 LAKE OF EGYPT RD, Creal Springs, IL 62922 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part A Provider - Federally Qualified Health Center (fqhc)
PAC ID
1658285671

Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Federally Qualified Health Center (FQHC) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC)

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QF0400X Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) primary
207Q00000X Family Medicine Physician
101YM0800X Mental Health Counselor Mental Health
1041C0700X Clinical Social Worker Clinical
1223G0001X General Practice Dentistry General Practice
124Q00000X Dental Hygienist

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1013620160 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 4, 2023
Last updatedJul 29, 2024
StatusActive
Practice address 15470 LAKE OF EGYPT RD
Creal Springs, IL 62922
(618) 519-9200
Fax (618) 998-0880
Mailing address 109 CALIFORNIA ST PO BOX 577
Carterville, IL 62918
This record was updated on Jul 29, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1013620160 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 6 2 0 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 3 2 0 1 3

Sum = 40 · next multiple of 10 = 40 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013620160?
NPI 1013620160 is the National Provider Identifier assigned to SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP in Creal Springs, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Federally Qualified Health Center (FQHC) cover?
Definition to come...
How do I contact SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP?
The phone number on file with NPPES is (618) 519-9200, last updated Jul 29, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013620160 a valid number?
Yes. 1013620160 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.