Provider Demographics
NPI:1992847172
Name:PRAIRIELAND SERVICE COORDINATION INC
Entity Type:Organization
Organization Name:PRAIRIELAND SERVICE COORDINATION INC
Other - Org Name:PSCI
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SONGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-864-0494
Mailing Address - Street 1:POB 315
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62525-0315
Mailing Address - Country:US
Mailing Address - Phone:217-864-0494
Mailing Address - Fax:217-864-6873
Practice Address - Street 1:4847 US ROUTE 36E
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-9736
Practice Address - Country:US
Practice Address - Phone:217-864-0494
Practice Address - Fax:217-864-6873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management