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SPRINGFIELD ACADEMY NPI 1720127707


NPI Information

NPI: 1720127707
Provider Name: SPRINGFIELD ACADEMY
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 43D0991244

Address:
709 6TH ST.
SPRINGFIELD, SD
ZIP 57062
Phone: (605) 369-2585
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SPRINGFIELD ACADEMY is a residential treatment facility, intellectual and/or developmental disabilities in Springfield, SD. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. SPRINGFIELD ACADEMY NPI is 1720127707. The provider is registered as an organization entity type.

The provider's business location address is:

709 6TH ST.
SPRINGFIELD, SD
ZIP 57062
Phone: (605) 369-2585
Fax: (605) 369-2829

The provider's authorized official is Steve Green .
The authorized official title is Facility Administrator and has the following contact phone number (605) 369-2585.

The CLIA number assigned to this NPI record is 43D0991244 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 6/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesR74 97,383SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15169100MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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