Southern Illinois Community Support Services

LBN: Southern Illinois Community Support Services
Southern Illinois Community Support Services is an health care organization with primary practice located at 300 E Illinois St , New Baden IL 62265-1822. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Southern Illinois Community Support Services can be contacted via phone (618) 588-7136, or through Brave, Michael via phone 61858820066.

Contact Information

Primary practice address
300 E Illinois St New Baden IL 62265-1822
Phone: (618) 588-7136
Fax: (618) 588-4673
Website:
Map and Directions
Authorized official contact:
Name: Brave, Michael
Phone: 61858820066

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1184091167
LBN Legal business name Southern Illinois Community Support Services
DBA Doing business as
Authorized official Brave, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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