Unified Fire Authority-Salt Lake

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1867L Issued in UT

Legal business name

UNIFIED FIRE AUTHORITY-SALT LAKE

Practice address

3380 S 900 W
Salt Lake City, UT 84119-4102

Phone

(801) 743-7200

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Shirley Perkins

Title

Cfo

Phone

(801) 743-7281

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Unified Fire Authority-Salt Lake2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Unified Fire Authority

  • Ambulance
  • Salt Lake City, UT
  • NPI 1215058664
  NPD tax ID

Locations

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1053574673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 S 900 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841194102",
            "telephone_number": "801-743-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 S 900 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841194102",
            "telephone_number": "801-743-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED FIRE AUTHORITY-SALT LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-743-7281"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "1867L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053574673",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emilie Laura Ungricht, MD
• Misty Tae Ungricht, MSW, CSW
• Uni Home Program
• Uni Home Project Psychiatric
• Unified Fire Authority
• Graham Derek Unis, MSC, MD
• Unison Transport
• United Optical Co., Inc
• Univeristy of Utah
• Universal Center Corporation

• Land Ambulance in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.