Active NPI
South Central Community Action Program
Doing business as Head Start
- Public Health or Welfare Agency
- Bloomington, IN
National Provider Identifier
1518247766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOUTH CENTRAL COMMUNITY ACTION PROGRAM
- Doing business as
- Head Start
- Practice address
- 1502 W 15TH St
Bloomington, IN 47404-3018 - Phone
- (812) 334-8350
- Fax
- (812) 335-3637
- NPI assigned
- Aug 19, 2011
- Last updated
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shirley S Stumpner
- Title
- Head Start Director
- Phone
- (812) 334-8350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1502 W 15TH St
Bloomington, IN 47404-3018
Mailing address
1502 W 15TH St
Bloomington, IN 47404-3018
Phone (812) 334-8350
Other names 1
- Head Start
National Provider Directory
National Provider DirectoryLocations
1502 W 15th St
Bloomington, IN 47404
Phone (812) 334-8350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313712000000",
"number": "1518247766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W 15TH ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043018",
"telephone_number": "812-334-8350",
"fax_number": "812-335-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W 15TH ST",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043018",
"telephone_number": "812-334-8350",
"fax_number": "812-335-3637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH CENTRAL COMMUNITY ACTION PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A",
"authorized_official_last_name": "STUMPNER",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "HEAD START DIRECTOR",
"authorized_official_telephone_number": "812-334-8350",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Head Start",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomington, IN
- John C Sorg, MD
- Rachel Anne Sorrells, RBT
- Marla J Souder, PSY.D., HSPP
- Heather Marie Souers, CTRS
- Soul Insight Counseling Services
- South Central Oral & Maxillofacial Surgery, LLC
- Southern Indiana Anesthesiology
- Southern Indiana Family Practice Center PC (Southern Indiana Family Practice Center)
- Southern Indiana Hearing Solutions
- Southern Indiana Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.