Southern Illinois Case Coordination Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SOUTHERN ILLINOIS CASE COORDINATION SERVICES

Practice address

519 S Locust St # 588
Centralia, IL 62801-4223

Phone

(618) 532-4300

Fax

(618) 532-9416

NPI assigned

Aug 31, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary Roger Hake

Title

Executive Director

Phone

(618) 532-4300

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1215243001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S LOCUST ST # 588",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628014223",
            "telephone_number": "618-532-4300",
            "fax_number": "618-532-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S LOCUST ST # 588",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628014223",
            "telephone_number": "618-532-4300",
            "fax_number": "618-532-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS CASE COORDINATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "HAKE",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-532-4300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "40CM001645",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Smith
• Emily Smith
• KD Smith
• Brandon Snow
• Alicia Marie Snyder, BCBA
• Stephanie Ann Sparks, MAPC
• Sara Michelle Spencer
• Laura Spenner, PTA
• Dale H Spitler, L.C.S.W.
• St Mary's Hospital, Centralia, Illinois (SSM Health St. Mary's Hospital - Centralia)

• Case Management Agency in Centralia, IL
• Providers in Centralia, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.