MCCLELLAN CCSD #12 (NPI# 1235268806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235268806 |
| Entity Type | Organization |
| Organization Name | MCCLELLAN CCSD #12 |
| Other Organization Name | MCCLELLAN SCHOOL |
| Practice Address |
9475 N Il Highway 148 Mount Vernon IL 62864-6379 |
| Practice Telephone | 6182448072 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANGELA MILLS (SUPERINTENDENT) |
| Authorized Official Telephone | 6182448072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Other Name | Type Code |
|---|---|
| McClellan School | Other Name - Individual/Organization |
| Street Address |
9475 N IL HIGHWAY 148 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-6379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619248044 | Clarissa Jones-edwards | Local Education Agency (LEA) | 139 S 10th Ave, Mount Vernon, NY 10550-2901 | 2012-01-17 |
| 1659667988 | Mount Vernon City Schools | Local Education Agency (LEA) | 300 Newark Rd, Mount Vernon, OH 43050-4510 | 2011-06-24 |
| 1841430295 | Knox County Esc | Local Education Agency (LEA) | 308 Martinsburg Rd, Mount Vernon, OH 43050-4225 | 2009-02-25 |
| 1457575565 | Mt Vernon Community School District | Local Education Agency (LEA) | 525 Palisades Rd Sw, Mount Vernon, IA 52314-1761 | 2007-04-12 |
| 1013041243 | Rockcastle County Board of Education | Local Education Agency (LEA) | 245 Richmond Street, Mount Vernon, KY 40456 | 2007-03-16 |
| 1730210030 | Bethel Grade School District #82 | Local Education Agency (LEA) | 1201 Bethel Rd, Mount Vernon, IL 62864-7231 | 2007-03-08 |
| 1871624338 | Summersville Sd 79 | Local Education Agency (LEA) | 1118 Fairfield Rd, Mount Vernon, IL 62864-5726 | 2007-03-08 |
| 1447380829 | Mt Vernon Cty Sch Dist 80 | Local Education Agency (LEA) | 1722 Oakland Ave, Mount Vernon, IL 62864-2885 | 2007-03-06 |
| 1649317561 | Mount Vernon City School District | Local Education Agency (LEA) | 165 N Columbus Ave, Mount Vernon, NY 10553-1101 | 2007-01-31 |
| 1225196306 | Mount Vernon Enola School | Local Education Agency (LEA) | 38 Garland Springs Road, Mount Vernon, AR 72111 | 2006-12-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on MCCLELLAN CCSD #12.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.