Shawnee Health Care, Carbondale Dental – Federally Qualified Health Center (FQHC), NPI 1174859870

Shawnee Health Care, Carbondale Dental is a healthcare provider. based in Carterville, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Shawnee Health Care, Carbondale Dental is 1174859870

Main info

Organization
Name
Shawnee Health Care, Carbondale Dental
NPI
1174859870
Phone
(618) 985-8221
Address
109 CALIFORNIA ST
Authorized Official
CHRISTINA CARNEY CEO
Enumeration Date
30 October 2009
Last Update Date
4 April 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness80
Years active:16State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Shawnee Health Care, Carbondale Dental

  • 109, California Street, Carterville, Williamson County, Illinois, 62918, United States

    PO BOX 577

    CARTERVILLE, IL 629181923

    Phone: (618) 985-8221

    Fax: (618) 985-6860

    Type: Mailing

  • 402, South Lewis Lane, Carbondale, Jackson County, Illinois, 62901, United States

    CARBONDALE, IL 62901

    Phone: (618) 519-9901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62918)

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Reviews

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Frequently asked questions

How do I look up Shawnee Health Care, Carbondale Dental by NPI?
Use NPI 1174859870 when you need to reference Shawnee Health Care, Carbondale Dental in forms, claims, or directories.
Is Shawnee Health Care, Carbondale Dental currently active in the NPI registry?
CMS-published data lists Shawnee Health Care, Carbondale Dental as an active registrant.
Does Shawnee Health Care, Carbondale Dental list a primary specialty?
If you are matching referrals, note Federally Qualified Health Center (FQHC) for Shawnee Health Care, Carbondale Dental. Clinical services aligned with this taxonomy classification.
What location metadata exists for Shawnee Health Care, Carbondale Dental?
The page summarizes Carterville, Illinois for Shawnee Health Care, Carbondale Dental; expand the address list for detail.
How can I contact Shawnee Health Care, Carbondale Dental?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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