Provider Demographics
NPI:1265561781
Name:SPRINGFIELD PUBLIC SCHOOLS R-12
Entity type:Organization
Organization Name:SPRINGFIELD PUBLIC SCHOOLS R-12
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:NORM
Authorized Official - Middle Name:
Authorized Official - Last Name:RIDDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-523-0026
Mailing Address - Street 1:639 W CHESTNUT EXPY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-3935
Mailing Address - Country:US
Mailing Address - Phone:417-523-7500
Mailing Address - Fax:417-523-7595
Practice Address - Street 1:639 W CHESTNUT EXPY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-3935
Practice Address - Country:US
Practice Address - Phone:417-523-7500
Practice Address - Fax:417-523-7595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)