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CH050040 SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION (Active)
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Main Details
Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORPORATION
Subdivision Name
SHAWNEE HEALTH SERVICE AND DEVELOPMENT C
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002501
340B ID
CH050040
Grant Number
H80CS00667
Additional Details
Current Program Status
Active
Registration Date
7/1/1998
Participating Start Date
7/1/1998
Participating Approval Date
9/7/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Shawnee Health Service and Development Corporation
Christina G Carney, Chief Executive Officer
(618) 985-8221
Primary Contact
Shawnee Health Service and Development Corporation
David Smiley, Pharmacist
(618) 684-9362
Addresses
Street Address
109 California St
Carterville, IL 62918-1923
Billing Address
Shawnee Health Service and Development Corporation
109 California St
P.O. Box 577
Carterville, IL 62918-1923
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW CONTACT INFO, ENTITY NAME CORRECTION
03/16/2006
May 2025
May 2025
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