Healthcare Provider Details

I. General information

NPI: 1225084510
Provider Name (Legal Business Name): CITY OF SPRINGFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N JACKSON AVE
SPRINGFIELD MN
56087-1714
US

IV. Provider business mailing address

2 E CENTRAL ST
SPRINGFIELD MN
56087-1608
US

V. Phone/Fax

Practice location:
  • Phone: 507-723-3523
  • Fax: 507-607-8813
Mailing address:
  • Phone: 507-723-3502
  • Fax: 507-723-6210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberEMS#0236
License Number StateMN

VIII. Authorized Official

Name: LOWELL HELGET
Title or Position: MAYOR
Credential:
Phone: 507-220-8371