MEDICARE: CITY OF SPRINGFIELD

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	341600000X	Ambulance	02-0303950	OH
2	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590014950	OTHER	OH	RAILROAD 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	000000218700	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1861492472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF SPRINGFIELD

Provider Business Mailing Address
First Line	:	76 E HIGH ST
Second Line	:	4TH FLOOR TREASURY
City	:	SPRINGFIELD
State	:	OH
Zip	:	45502-1214
Country	:	US
Telephone Number	:	937-424-3701
Fax Number	:	336-791-0196

Provider Business Practice Location Address
First Line	:	350 N FOUNTAIN AVE
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45504-2537
Country	:	US
Telephone Number	:	937-324-7610
Fax Number	:	937-291-2971

Authorized Official
Title or Position	:	CITY MANAGER
Name	:	BRYAN HECK
Credential	:
Telephone Number	:	937-324-7305

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	02/05/2026

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Directions to “CITY OF SPRINGFIELD ” Practice Location

Language	Start Address	Practice Location

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