Provider Demographics
NPI:1619925997
Name:CITY OF SPRINGFIELD
Entity Type:Organization
Organization Name:CITY OF SPRINGFIELD
Other - Org Name:CITY OF SPRINGFIELD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-726-3700
Mailing Address - Street 1:1705 W 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4177
Mailing Address - Country:US
Mailing Address - Phone:541-682-7107
Mailing Address - Fax:541-682-7116
Practice Address - Street 1:1705 W 2ND AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4177
Practice Address - Country:US
Practice Address - Phone:541-726-3737
Practice Address - Fax:541-726-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2008-063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590008975OtherPALMETTO GBA
OR009867000OtherBLUE CROSS/BLUE SHIELD
OR226100Medicaid