Active NPI
Springfield Assisted Living Center
- Health Maintenance Organization
- Springfield, SD
National Provider Identifier
1518125244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 00000000000000000000
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D0991244 | Springfield Assisted Living Center Inc | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.