Provider Demographics
NPI:1962622613
Name:CITY OF SPRINGFIELD FINANCE OFFICE
Entity type:Organization
Organization Name:CITY OF SPRINGFIELD FINANCE OFFICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:BURK
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:605-369-2701
Mailing Address - Street 1:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:SD
Mailing Address - Zip Code:57062-0268
Mailing Address - Country:US
Mailing Address - Phone:605-369-2701
Mailing Address - Fax:605-369-4463
Practice Address - Street 1:807 9TH STREET
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:SD
Practice Address - Zip Code:57062-0268
Practice Address - Country:US
Practice Address - Phone:605-369-2701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
99059OtherSUPPLIER CODE
=========OtherFEDERAL TAX ID