OrganizationActive
Desoto Cons School District 86
NPI 1700904216 · Student Health Clinic/Center · De Soto, IL
Provider details
- NPI number
- 1700904216
- 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(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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 Ccsd 86
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 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.