MEDICARE: SPRINGFIELD AMBULANCE CORPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	03404	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	590011607	OTHER	PA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	284507	OTHER	PA	PTAN
3	0033270000	OTHER	PA	KEYSTONE EAST
4	0033270000	OTHER	PA	IND BLUE CROSS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285785402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD AMBULANCE CORPS

Provider Business Mailing Address
First Line	:	201 SAXER AVE
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-3143
Country	:	US
Telephone Number	:	610-328-3090
Fax Number	:	610-705-3979

Provider Business Practice Location Address
First Line	:	201 SAXER AVE
Second Line	:
City	:	SPRINGFIELD
State	:	PA
Zip	:	19064-3143
Country	:	US
Telephone Number	:	610-328-3090
Fax Number	:	610-705-3979

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	MR. BRAD MILLER
Credential	:
Telephone Number	:	610-812-7225

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	02/01/2026

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Directions to “SPRINGFIELD AMBULANCE CORPS ” Practice Location

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