Organization Active NPI

Draper City

Doing business as Draper City Ambulance

  • Ambulance
  • Draper, UT
National Provider Identifier
1073634234
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1852L Issued in UT
Legal business name
DRAPER CITY
Doing business as
Draper City Ambulance
Practice address
780 E 12300 S
Draper, UT 84020-9571
Phone
(385) 557-2801
NPI assigned
Apr 3, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Clint Smith
Title
Chief
Phone
(801) 824-3709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1852L UT Primary

Addresses

Primary practice location

780 E 12300 S
Draper, UT 84020-9571

Mailing address

780 E 12300 S
Draper, UT 84020-9571
Phone (385) 557-2801

Other identifiers 2

IdentifierTypeStateIssuer
590005840OtherUTRAILROAD MEDICARE
590005840OtherUTPALMETTO GBA

Other names 1

  • Draper City Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000829 UT Part B Supplier - Ambulance Service Supplier 6204814668 Practice locations: Draper, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2201783Draper City Fire Department780 E 12300 S, Draper, UT 84020Certificate of waiverNov 22, 2026

National Provider Directory

National Provider Directory

Locations

14324 S Fire House Rd
Draper, UT 84020
Phone (801) 576-6582

2309 S Redwood Rd
Ste A
West Valley, UT 84119
Phone (801) 887-7026

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073634234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209571",
            "telephone_number": "385-557-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E 12300 S",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209571",
            "telephone_number": "385-557-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAPER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "801-824-3709"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "UT",
            "license": "1852L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005840",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "590005840",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Draper City Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.