Active NPI
Spring Garden Community Consolidated School District #178
- Student Health Clinic/Center
- Mount Vernon, IL
National Provider Identifier
1881724565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- SPRING GARDEN COMMUNITY CONSOLIDATED SCHOOL DISTRICT #178
- Practice address
- 14975 E Bakerville Rd
Mount Vernon, IL 62864 - Phone
- (618) 244-8070
- Fax
- (618) 244-8071
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 31, 2015
- 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
- Mrs. Nikki Dawn Strain
- Title
- Administrative Assistant
- Phone
- (618) 244-8070
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | IL | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU |
Addresses
Primary practice location
14975 E Bakerville Rd
Mount Vernon, IL 62864
Mailing address
14975 E Bakerville Rd
Mount Vernon, IL 62864
Phone (618) 244-8070
National Provider Directory
National Provider Directory- Tax ID family
- Spring Garden Community Consolidated School District 178
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Mount Vernon, IL
- NPI 1326494261
Locations
14975 E Bakerville Rd
Mount Vernon, IL 62864
Phone (618) 244-8070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Mount Vernon, IL
- NPI 1093224727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438300800000",
"number": "1881724565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14975 E BAKERVILLE RD",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "62864",
"telephone_number": "618-244-8070",
"fax_number": "618-244-8071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14975 E BAKERVILLE RD",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "62864",
"telephone_number": "618-244-8070",
"fax_number": "618-244-8071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING GARDEN COMMUNITY CONSOLIDATED SCHOOL DISTRICT #178",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2015-07-31",
"status": "A",
"authorized_official_last_name": "STRAIN",
"authorized_official_first_name": "NIKKI",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "618-244-8070",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- Spero Family Services
- Spero Family Services
- Spero Family Services
- Claudia Rae Spotanski, PA-C
- Spring Garden Community Consolidated School District #178
- Prateek Srinet, M.D.
- SSC Mount Vernon Operating Company LLC (Nature Trail Health Care Center)
- SSM Health Businesses (SSM Health at Home Hospice Glen Carbon)
- SSM Health Businesses (SSM Health at Home Home Health Glen Carbon)
- St. Louis JC Vamc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.