OrganizationActive
Southern Illinois Case Coordination Services
NPI 1215243001 · Case Management Agency · Centralia, IL
Southern Illinois Case Coordination Services is a Case Management Agency organization in Centralia, IL (NPI 1215243001).
Provider details
- NPI number
- 1215243001
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Gary Hake, Executive Director(618) 532-4300
- License
- 40CM001645 (IL)
Practice location
519 S Locust St # 588
Centralia, IL 62801-4223
Phone: (618) 532-4300
Fax: (618) 532-9416
Street-level locationGet directions
Mailing address
519 S Locust St # 588
Centralia, IL 62801-4223
Registry dates
- Enumerated
- 2010-08-31
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.