Active NPI
Springfield Academy
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Springfield, SD
National Provider Identifier
1720127707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- R74 97,383
- Legal business name
- SPRINGFIELD ACADEMY
- Practice address
- 709 6TH St.
Springfield, SD 57062 - Phone
- (605) 369-2585
- Fax
- (605) 369-2829
- NPI assigned
- Feb 6, 2007
- Last updated
- Jun 3, 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
- Mr. Steve Green
- Title
- Facility Administrator
- Phone
- (605) 369-2585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | R74 97,383 | SD | Primary |
Addresses
Primary practice location
709 6TH St.
Springfield, SD 57062
Mailing address
709 6TH Street
Springfield, SD 57062
Phone (605) 369-2585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5169100 | Medicaid | SD |
National Provider Directory
National Provider Directory- Tax ID family
- Chamberlain Academy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Chamberlain, SD
- NPI 1619010543
-
- Psychiatric Residential Treatment Facility
- Springfield, SD
- NPI 1164740734
-
- Substance Abuse Rehabilitation Facility
- Springfield, SD
- NPI 1659411171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1720127707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 6TH STREET",
"city": "SPRINGFIELD",
"state": "SD",
"postal_code": "57062",
"telephone_number": "605-369-2585",
"fax_number": "605-369-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 6TH ST.",
"city": "SPRINGFIELD",
"state": "SD",
"postal_code": "57062",
"telephone_number": "605-369-2585",
"fax_number": "605-369-2829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
"authorized_official_telephone_number": "605-369-2585",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "SD",
"license": "R74 97,383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5169100",
"state": "SD"
}
],
"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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.