SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1639295314, based in Carterville, IL. The organization lists 13 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 109 CALIFORNIA ST, Carterville, IL 62918. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
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.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658285671
- Enrollment ID
- O20031120000454
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; 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
All registered taxonomy codes
This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker Clinical | — | IL | |
| 122300000X | Dentist | — | IL | |
| 124Q00000X | Dental Hygienist | — | IL | |
| 126800000X | Dental Assistant | — | IL | |
| 133V00000X | Registered Dietitian | — | IL | |
| 207Q00000X | Family Medicine Physician | — | IL | |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician Adolescent Medicine | — | IL | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | IL | |
| 207V00000X | Obstetrics & Gynecology Physician | — | IL | |
| 208000000X | Pediatrics Physician | — | IL | |
| 2084N0400X | Neurology Physician Neurology | — | IL | |
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | — | — | primary |
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | — | IL |
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.
| NPI | 1639295314 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 22, 2007 |
| Last updated | Apr 5, 2024 |
| Status | Active |
| Practice address |
109 CALIFORNIA ST Carterville, IL 62918 (618) 985-8221 Fax (618) 985-6860 |
| Other identifiers |
013
· Medicaid (IL) 018 · Medicaid (IL) 019 · Medicaid (IL) 020 · Medicaid (IL) 022 · Medicaid (IL) 024 · Medicaid (IL) 10032052 · Other (IL) 640701 · Other ========= · Other (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) ========= · Medicaid (IL) CF3444 · Other (IL) |
Number check
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 | 6 | 3 | 9 | 2 | 9 | 5 | 3 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 6 | 9 | 4 | 9 | 1 | 3 | 2 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
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.