Organization Active NPI

South Central Community Action Program

Doing business as Head Start

  • Public Health or Welfare Agency
  • Bloomington, IN
National Provider Identifier
1518247766
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.