Active NPI
City of Springfield
- Land Ambulance
- Eugene, OR
National Provider Identifier
1619925997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2008-06
- Legal business name
- CITY OF SPRINGFIELD
- Practice address
- 1705 W 2ND Ave
Eugene, OR 97402-4177 - Phone
- (541) 726-3737
- Fax
- (541) 726-2297
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Newton
- Title
- City Manager
- Phone
- (541) 726-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2008-06 | OR | Primary |
Addresses
Primary practice location
1705 W 2ND Ave
Eugene, OR 97402-4177
Mailing address
1705 W 2ND Ave
Eugene, OR 97402-4177
Phone (541) 682-7107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590008975 | Other | PALMETTO GBA | |
| 009867000 | Other | OR | BLUE CROSS/BLUE SHIELD |
| 226100 | Medicaid | OR |
Other names 1
- City of Springfield Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100201000259 | OR | Part B Supplier - Ambulance Service Supplier | 3577522135 | Practice locations: Springfield, OR; Eugene, OR |
National Provider Directory
National Provider DirectoryLocations
6853 Main St
Springfield, OR 97478
Phone (541) 682-7108
1475 5th St
Springfield, OR 97477
Phone (541) 682-7108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641427200000",
"number": "1619925997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 W 2ND AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024177",
"telephone_number": "541-682-7107",
"fax_number": "541-682-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 W 2ND AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974024177",
"telephone_number": "541-726-3737",
"fax_number": "541-726-2297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SPRINGFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CITY MANAGER",
"authorized_official_telephone_number": "541-726-3700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OR",
"license": "2008-06",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "590008975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "009867000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226100",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Springfield Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "City of Springfield Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.