Provider Demographics
NPI:1487809174
Name:SPRINGFIELD CITY SCHOOLS
Entity type:Organization
Organization Name:SPRINGFIELD CITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PIZNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-505-2855
Mailing Address - Street 1:700 S LIMESTONE ST
Mailing Address - Street 2:ROOM 202
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-1941
Mailing Address - Country:US
Mailing Address - Phone:937-505-2855
Mailing Address - Fax:937-328-6843
Practice Address - Street 1:700 S LIMESTONE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1941
Practice Address - Country:US
Practice Address - Phone:937-505-2855
Practice Address - Fax:937-328-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH044818251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH044818Medicaid