| Shawnee Health Care, Same Day | |
|
404 S. Lewis Lane Carbondale IL 62901 | |
| (618) 519-9200 | |
| (618) 549-1288 |
| Full Name | Shawnee Health Care, Same Day |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 S. Lewis Lane, Carbondale, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawnee Health Care, Same Day Po Box 577 109 California St. Carterville IL 62918-0577 Ph: (618) 985-8221 | Shawnee Health Care, Same Day 404 S. Lewis Lane Carbondale IL 62901 Ph: (618) 519-9200 |
| NPI Number | 1285185173 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Medicare PECOS PAC ID | 1658285671 |
|---|---|
| Medicare Enrollment ID | O20170605001832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285185173 | NPI | - | NPPES |
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