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SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES NPI 1205074630


NPI Information

NPI: 1205074630
Provider Name: SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES

Doing Business As: SIRSS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
250 S LEWIS LN
CARBONDALE, IL
ZIP 62901
Phone: (618) 457-6703
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SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES is a community behavioral health in Carbondale, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOUTHERN ILLINOIS REGIONAL SOCIAL SERVICES NPI is 1205074630. The provider is registered as an organization entity type.
The provider Is Doing Business As Sirss.

The provider's business location address is:

250 S LEWIS LN
CARBONDALE, IL
ZIP 62901-409
Phone: (618) 457-6703
Fax: (618) 457-8377

The provider's authorized official is Karen S Freitag .
The authorized official title is Executive Director and has the following contact phone number (618) 457-6703.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 10/4/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthA-0243-0001-AILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========006MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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