Organization Active NPI

City of Springfield

  • Land Ambulance
  • Springfield, OH
National Provider Identifier
1861492472
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SPRINGFIELD
Practice address
350 N Fountain Ave
Springfield, OH 45504-2537
Phone
(937) 324-7610
Fax
(937) 291-2971
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Jacob David King
Title
Chief
Phone
(937) 324-7400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0303950 OH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

350 N Fountain Ave
Springfield, OH 45504-2537

Mailing address

76 E High St
4TH Floor Treasury
Springfield, OH 45502-1214
Phone (937) 424-3701

Other identifiers 3

IdentifierTypeStateIssuer
2311859MedicaidOH
000000218700OtherOHANTHEM
590014950OtherOHRAILROAD MEDICARE

Other names 1

  • Springfield Fire Rescue Division Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090922000058 OH Part B Supplier - Ambulance Service Supplier 9931255684 Practice locations: Springfield, OH

National Provider Directory

National Provider Directory

Locations

735 W Pleasant St
Springfield, OH 45506
Phone (937) 324-7641

1401 Selma Rd
Springfield, OH 45505
Phone (937) 324-7638

422 Ludlow Ave
Springfield, OH 45505
Phone (937) 324-7643

1565 Lagonda Ave
Springfield, OH 45503
Phone (937) 324-7657

76 E High St
Fl 4
Springfield, OH 45502

350 N Fountain Ave
Springfield, OH 45504
Phone (937) 324-7605

1707 Commerce Rd
Springfield, OH 45504
Phone (937) 324-7642

437 E Home Rd
Springfield, OH 45503
Phone (937) 328-3990

2040 S Limestone St
Springfield, OH 45505
Phone (937) 324-7641

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1861492472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 E HIGH ST",
            "address_2": "4TH FLOOR TREASURY",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455021214",
            "telephone_number": "937-424-3701",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N FOUNTAIN AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042537",
            "telephone_number": "937-324-7610",
            "fax_number": "937-291-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-324-7400"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0303950",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2311859",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000218700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Fire Rescue Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.