City of Roy Corp.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2902L Issued in UT

Legal business name

CITY OF ROY CORP.

Doing business as

Roy City Ambulance

Practice address

5051 S 1900 W
Roy, UT 84067-2936

Phone

(801) 774-1080

Fax

(801) 774-1059

NPI assigned

Nov 9, 2006

Last updated

Nov 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric J Froerer

Title

Deputy Chief

Phone

(801) 774-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roy City Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1003986613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 S 1900 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672936",
            "telephone_number": "801-774-1080",
            "fax_number": "801-774-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 S 1900 W",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672936",
            "telephone_number": "801-774-1080",
            "fax_number": "801-774-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ROY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FROERER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "801-774-1080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990001909006",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roy City Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saedra Chase
• Aahnya Chavez
• Jeff W Child, D.C.
• Inger Christensen, PHARMD
• Khennadye Wilson Christian
• Tiffani Clayton, BT
• Nathan James Cobabe
• Community Oriented Services for Helping, Inc.
• Justin Cook, DDS
• Amber Sherece Cordova

• Land Ambulance in Roy, UT
• Providers in Roy, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.