OrganizationActive
Desoto Ccsd 86
NPI 1225200850 · Student Health Clinic/Center · De Soto, IL
Desoto Ccsd 86 is a Student Health Clinic/Center organization in De Soto, IL (NPI 1225200850).
Provider details
- NPI number
- 1225200850
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Bullock, Superintendent(618) 867-2317
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 Hurst Rd
De Soto, IL 62924-1228
Phone: (618) 867-2317
Fax: (618) 867-3233
Street-level locationGet directions
Mailing address
311 Hurst Rd
De Soto, IL 62924-1228
Other names (DBA / former)
- Other name
- Desoto Cons School Districxt 86
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-04-20
Frequently asked questions
- What is Desoto Ccsd 86's NPI number?
- Desoto Ccsd 86's National Provider Identifier (NPI) is 1225200850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Desoto Ccsd 86?
- Desoto Ccsd 86 is classified in the NPPES registry as Student Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Desoto Ccsd 86 located?
- Desoto Ccsd 86's practice location on file with NPPES is 311 Hurst Rd, De Soto, IL 62924-1228.
- What is Desoto Ccsd 86's phone number?
- The practice phone number listed in the NPPES registry for Desoto Ccsd 86 is (618) 867-2317.
- Who is the authorized official for Desoto Ccsd 86?
- The authorized official listed on Desoto Ccsd 86's NPPES record is Mark Bullock, Superintendent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Desoto Ccsd 86's NPI active?
- Yes — Desoto Ccsd 86's NPI (1225200850) is active in the NPPES registry as of the last update on 2008-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.