Belleville Area SPC SRV Co - Adm

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BELLEVILLE AREA SPC SRV CO - ADM

Practice address

2411 Pathways Crossing
Belleville, IL 62221

Phone

(618) 355-4700

Fax

(618) 355-4758

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Gary J Allison

Title

Business Manager

Phone

(618) 355-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356561666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS CROSSING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62221",
            "telephone_number": "618-355-4700",
            "fax_number": "618-355-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 PATHWAYS CROSSING",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62221",
            "telephone_number": "618-355-4700",
            "fax_number": "618-355-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVILLE AREA SPC SRV CO - ADM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "618-355-4700"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376004522001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bel Clair Ambulatory Surgical Treatment Center, LTD.
• Neil Belanger, CRNA
• Stephen Bell, MD
• Belle Valley School District 119
• Janice Beller, PT
• Belleville Area Special Services Cooperative
• Belleville Area Special Services Cooperative
• Belleville Behavioral Health & Nursing Center LLC
• Belleville Dental Care
• Belleville Dental Center

• All providers in Belleville, IL
• 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.