Organization Active NPI

City of Springfield

  • Land Ambulance
  • Eugene, OR
National Provider Identifier
1619925997
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2008-06 Issued in OR
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

Updated by the provider on Jan 6, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590008975OtherPALMETTO GBA
009867000OtherORBLUE CROSS/BLUE SHIELD
226100MedicaidOR

Other names 1

  • City of Springfield Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000259 OR Part B Supplier - Ambulance Service Supplier 3577522135 Practice locations: Springfield, OR; Eugene, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.