Organization Active NPI

Spring Garden Community Consolidated School District #178

  • Student Health Clinic/Center
  • Mount Vernon, IL
National Provider Identifier
1881724565
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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)CodeLicenseStatePrimary
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 1782 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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

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.

Verify at the official NPI Registry.