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DESOTO CCSD 86
NPI 1700904216
Clinic/Center - Student Health in De Soto, IL

Active since March 26, 2007
311 HURST RD, DE SOTO, IL 62924(618) 867-2317(618) 867-3233 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desoto Ccsd 86 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESOTO CCSD 86 (NPI 1700904216) is a healthcare organization registered as a student health in De Soto, Illinois and active in the NPI registry since March 2007. The organization lists Mark E Bullock, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1700904216
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameDESOTO CONS SCHOOL DISTRICT 86
Location Address311 HURST RDDe Soto, IL 62924-1228
Mailing Address311 Hurst RdDe Soto, IL 62924-1228 · (618) 867-2317 · Fax (618) 867-3233
Phone(618) 867-2317
Fax(618) 867-3233
Organization SubpartNo
Authorized OfficialMark E BullockSuperintendent · (618) 867-2317
Enumeration DateMarch 26, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1700904216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
311 HURST RD, De Soto, IL 62924
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Other Names 1

Other NameDesoto Ccsd 86

Other Identifiers 1

Medicaid=========001IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESOTO CCSD 86
Clinic/Center (Student Health)
311 HURST RD
DE SOTO, IL 62924
Jackson County (618) 867-2317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desoto Cons School District 86's NPI number?

The NPI number for Desoto Cons School District 86 is 1700904216. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is also known as Desoto Ccsd 86.

Where is Desoto Cons School District 86 located?

Desoto Cons School District 86 is located at 311 Hurst Rd, De Soto, IL 62924. The listed phone number is (618) 867-2317.

What is Desoto Cons School District 86's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Desoto Cons School District 86 was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.