MERCY HOSPITAL SPRINGFIELD — NPI 1477756609 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in GREEN FOREST, AR)

CMS-1500 Box 24J / 33a • NPI

1477756609

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

200 SPARKY STREET, GREEN FOREST, AR, 72638-2713

✓ 9-Digit EDI 837 ZIP+4 (72638-2713)

Practice Phone & Referral Fax

(870) 438-5718

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477756609 (MERCY HOSPITAL SPRINGFIELD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477756609` (NPI-2 Organization / Facility)
Provider / Legal Name	MERCY HOSPITAL SPRINGFIELD
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	200 SPARKY STREET, GREEN FOREST, AR, 72638-2713
Practice Telephone / Fax	Tel: (870) 438-5718
Administrative Mailing Address	1235 E CHEROKEE ST, SPRINGFIELD, MO, 65804-2203
Enumeration & Last Sync	Enumerated: 2007-06-06 \| CMS Record Updated: 2013-12-17
Authorized Official	SCOTT REYNOLDS (Vice President - Finance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

200 SPARKY STREET, GREEN FOREST, AR, 72638-2713

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Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MERCY HOSPITAL SPRINGFIELD)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: AR \| License: `125` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MERCY HOSPITAL SPRINGFIELD (NPI #1477756609)