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Organization

Shawnee Health Service and Development Corp

NPI Record: ActiveFamily Medicine
NPI1841903895
Johnston City, Illinois

Provider's NPPES record last updated: April 9, 2024

Overview

Entity Type
Organization
NPI
1841903895
Primary Specialty
Family Medicine
Practice Location
Johnston City, Illinois
Organization Subpart
Yes
Parent Organization
Shawnee Health Service and Development Corp

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:06 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Counselor

    Mental Health

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YM0800X
  • Dentist

    General Practice

    Dental Providers

    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

    Taxonomy code 1223G0001X
  • Dental Hygienist

    Dental Providers

    An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

    Taxonomy code 124Q00000X

Practice Locations

Practice Location

1108 Grand Ave

Johnston City, Illinois 62951-1229

Phone: (618) 519-9200

Other Names

  • Jefferson Elementary School Health CenterReported January 4, 2023
  • Jefferson Elementary School Health CenterReported April 9, 2024

Record Information

Enumeration Date
January 4, 2023
Provider's NPPES Record Last Updated
April 9, 2024
Certification Date
April 9, 2024
NPISignal NPPES Dataset
August 2026

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