Meridian Cusd #101

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MERIDIAN CUSD #101

Practice address

208 Valley Rd
Mounds, IL 62964-2322

Phone

(618) 342-6776

Fax

(618) 342-6401

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Yvonne Bullock, SUPERINTENDENT

Title

Superintendent

Phone

(618) 342-6776

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1194994814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 VALLEY RD",
            "city": "MOUNDS",
            "state": "IL",
            "postal_code": "629642322",
            "telephone_number": "618-342-6776",
            "fax_number": "618-342-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 VALLEY RD",
            "city": "MOUNDS",
            "state": "IL",
            "postal_code": "629642322",
            "telephone_number": "618-342-6776",
            "fax_number": "618-342-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN CUSD #101",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-342-6776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SUPERINTENDENT"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Mounds, IL
• Providers in Mounds, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.