Organization Active NPI

Springfield Assisted Living Center

  • Health Maintenance Organization
  • Springfield, SD
National Provider Identifier
1518125244
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
00000000000000000000 Issued in SD
Legal business name
SPRINGFIELD ASSISTED LIVING CENTER
Practice address
701 Pine St
Springfield, SD 57062-2129
Phone
(605) 369-5445
Fax
(605) 369-2868
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Carol Jean Draughon
Title
Bookkeeper
Phone
(605) 369-5445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 00000000000000000000 SD Primary

Addresses

Primary practice location

701 Pine St
Springfield, SD 57062-2129

Mailing address

701 Pine St
Springfield, SD 57062-2129
Phone (605) 369-5445

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0991244Springfield Assisted Living Center Inc701 Pine Street, Springfield, SD 57062Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

701 Pine St
Springfield, SD 57062
Phone (605) 369-5445

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1518125244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "SPRINGFIELD",
            "state": "SD",
            "postal_code": "570622129",
            "telephone_number": "605-369-5445",
            "fax_number": "605-369-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PINE ST",
            "city": "SPRINGFIELD",
            "state": "SD",
            "postal_code": "570622129",
            "telephone_number": "605-369-5445",
            "fax_number": "605-369-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "DRAUGHON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "605-369-5445",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SD",
            "license": "00000000000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.