| NPI | 1043902752 |
|---|---|
| Doing Business As | SHAWNEE HEALTH CARE MARION OBGYN |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CARNEY CEO 618-956-9521 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-07-17 |