SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
NPI 1235780982
Clinic/Center - Methadone in Carterville, IL
NPI Status: Active since September 24, 2019
Contact Information
1006 S DIVISION ST
CARTERVILLE, IL
ZIP 62918
Phone: (618) 519-9200
Fax: (618) 985-3774
- Organization
- Clinic/Center
- Methadone
About SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
This page provides the complete NPI Profile along with additional information for Shawnee Health Service And Development Corp, a provider established in Carterville, Illinois operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1235780982 assigned on September 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Patsy R Jensen (Ceo)
- NPI
- 1235780982
- Provider Name
- SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
- Entity Type
- Organization
- Location Address
- 1006 S DIVISION ST CARTERVILLE, IL 62918
- Location Phone
- (618) 519-9200
- Location Fax
- (618) 985-3774
- Mailing Address
- PO BOX 577 109 CALIFORNIA ST CARTERVILLE, IL 62918
- Mailing Phone
- (618) 519-9200
- Mailing Fax
- (618) 985-3774
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-24-2019
- Last Update Date
- 09-24-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 8 | 0 | 9 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 8 | 0 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 8 + 0 + 9 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1235780982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982655692 | JAMES E WACHTER MD Individual | Family Medicine | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1457369076 | CONNIE E DEEN LCSW Individual | Social Worker (Clinical) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1588855712 | LACIE DIANE HAWKINS RD-LDN Individual | Dietitian, Registered | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1669587804 | CATHY D BLESS APN Individual | Nurse Practitioner | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1326429242 | KAIF MOHAMMED YUSUF MANSURI M.D. Individual | Family Medicine | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1952785222 | AMANDA REYNOLDS APN Individual | Nurse Practitioner | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1730295577 | GAIL L PETERMAN RD Individual | Dietitian, Registered | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1639690191 | TERESA JOHNSON APRN Individual | Nurse Practitioner | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1801280573 | YVONNE DANIELS LCSW Individual | Social Worker (Clinical) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1548852437 | MR. DAVID VACCARO MSW, LCSW Individual | Social Worker (Clinical) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1871975938 | NICOLE DAVIS MS, RDN, LDN Individual | Dietitian, Registered | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1881363000 | AMANDA WILLIAMS RD Individual | Dietitian, Registered | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1700373438 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 681-6811 |
| 1679548689 | DR. MATIN NEKZAD MD Individual | Family Medicine | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1811928732 | SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 985-4841 |
| 1215455472 | AMANDA ELLIS LCPC Individual | Counselor (Mental Health) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
| 1487111852 | ALEXANDRIA MARKEL LCPC Individual | Counselor (Mental Health) | 1006 S DIVISION ST CARTERVILLE, IL 62918 (618) 519-9200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235780982, enumerated in the NPI registry as an "organization" on September 24, 2019
The provider is located at 1006 S Division St Carterville, Il 62918 and the phone number is (618) 519-9200
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
This NPI record was last updated on September 24, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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