McClellan CCSD #12

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MCCLELLAN CCSD #12

Practice address

9475 N Il Highway 148
Mount Vernon, IL 62864-6379

Phone

(618) 244-8072

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Mills

Title

Superintendent

Phone

(618) 244-8072

Specialties & licenses 1

Addresses

Other names 1

• McClellan School Other name

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235268806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 N IL HIGHWAY 148",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 N IL HIGHWAY 148",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646379",
            "telephone_number": "618-244-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLELLAN CCSD #12",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-244-8072",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McClellan School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ashley May, FNP
• Rachelle Ranae May
• Cissi Mayberry
• Christopher N McAndrew, MA, ATC, CES
• Kevin Dale McBride, PHARM.D.
• Brittany McDonald, APRN
• Mary K McGarvey, COTA
• Joann McGee, CRNA
• Taylor McGowen, MSW
• Philip McIntosh

• Local Education Agency (LEA) in Mount Vernon, IL
• Providers in Mount Vernon, 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 Aug 22, 2020; 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.