Provider Demographics
NPI:1225084510
Name:CITY OF SPRINGFIELD
Entity Type:Organization
Organization Name:CITY OF SPRINGFIELD
Other - Org Name:SPRINGFIELD COMMUNITY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:LOWELL
Authorized Official - Middle Name:
Authorized Official - Last Name:HELGET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-220-8371
Mailing Address - Street 1:2 E CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:56087-1608
Mailing Address - Country:US
Mailing Address - Phone:507-723-3502
Mailing Address - Fax:507-723-6210
Practice Address - Street 1:625 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MN
Practice Address - Zip Code:56087-1714
Practice Address - Country:US
Practice Address - Phone:507-723-3523
Practice Address - Fax:507-607-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNEMS#02363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590014567OtherRAILROAD
MN554107700Medicaid