Organization Active NPI

Springfield Ambulance Corps

  • Land Ambulance
  • Springfield, PA
National Provider Identifier
1285785402
Registry record updated Feb 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
03404 Issued in PA
Legal business name
SPRINGFIELD AMBULANCE CORPS
Practice address
201 Saxer Ave
Springfield, PA 19064-3143
Phone
(610) 328-3090
Fax
(610) 705-3979
NPI assigned
Jan 15, 2007
Last updated
Feb 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brad Miller
Title
Finance Director
Phone
(610) 812-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 03404 PA Primary

Addresses

Primary practice location

201 Saxer Ave
Springfield, PA 19064-3143

Mailing address

201 Saxer Ave
Springfield, PA 19064-3143
Phone (610) 328-3090

Other identifiers 6

IdentifierTypeStateIssuer
001262063002MedicaidPA
284507OtherPAPTAN
0033270000OtherPAKEYSTONE EAST
0033270000OtherPAIND BLUE CROSS
590011607OtherPARR MEDICARE
46370MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000246 PA Part B Supplier - Ambulance Service Supplier 1355502816 Practice locations: Springfield, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2169743Springfield Ambulance Corps201 Saxer Ave, Springfield, PA 19064Certificate of waiverJul 25, 2027

National Provider Directory

National Provider Directory

Locations

201 Saxer Ave
Springfield, PA 19064
Phone (610) 328-3090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769904000000",
    "number": "1285785402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAXER AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643143",
            "telephone_number": "610-328-3090",
            "fax_number": "610-705-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAXER AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643143",
            "telephone_number": "610-328-3090",
            "fax_number": "610-705-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-02-01",
        "certification_date": "2026-02-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "610-812-7225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001262063002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "284507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0033270000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND BLUE CROSS",
            "identifier": "0033270000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590011607",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46370",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.