Provider Demographics
NPI:1457307597
Name:CITY OF SPRINGFIELD
Entity Type:Organization
Organization Name:CITY OF SPRINGFIELD
Other - Org Name:SPRINGFIELD-GREENE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:417-864-1660
Mailing Address - Street 1:227 E CHESTNUT EXPY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65802-3847
Mailing Address - Country:US
Mailing Address - Phone:417-864-1660
Mailing Address - Fax:417-864-2065
Practice Address - Street 1:227 E CHESTNUT EXPY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65802-3847
Practice Address - Country:US
Practice Address - Phone:417-864-1660
Practice Address - Fax:417-864-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO512080102Medicaid
MO512080102Medicaid
MO000012225Medicare ID - Type UnspecifiedPROVIDER NUMBER