Jackson County Community Mental Health

LBN: Southern Illinois Regional Social Services
Jackson County Community Mental Health is an health care organization with primary practice located at 604 E College St , Carbondale IL 62901-3309. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Southern Illinois Regional Social Services can be contacted via phone (618) 457-6703, or through Freitag, Karen S via phone (618) 457-6703.

Contact Information

Primary practice address
604 E College St Carbondale IL 62901-3309
Phone: (618) 457-6703
Fax: (618) 457-8377
Website:
Map and Directions
Authorized official contact:
Name: Freitag, Karen S
Phone: (618) 457-6703

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X A-0243-0001-A Illinois

Profile Details

NPI number 1932251758
LBN Legal business name Southern Illinois Regional Social Services
DBA Doing business as Jackson County Community Mental Health
Authorized official Freitag, Karen S
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2007
Last updated Sep 15th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932251758 NPPES
Illinois MEDICAID 002

Popular Providers