Active NPI
Draper City
Doing business as Draper City Ambulance
- Ambulance
- Draper, UT
National Provider Identifier
1073634234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1852L
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590005840 | Other | UT | RAILROAD MEDICARE |
| 590005840 | Other | UT | PALMETTO GBA |
Other names 1
- Draper City Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040712000829 | UT | Part B Supplier - Ambulance Service Supplier | 6204814668 | Practice locations: Draper, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2201783 | Draper City Fire Department | Certificate of waiver | Nov 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
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
- Dr Dean E Jarman DDS PC
- Dr. Cory M. Stark D.D.S. (Out of This World Dentistry)
- Hallee V Drage
- Kailynn Draney
- Draper Chiropractic P.C.
- Draper Dental PC
- Draper Family Medical Associates, LLC
- Draper Ridge Counseling Services
- Draper Senior Living, LLC (Escalante at Draper)
- Draper Therapy and Wellness Center
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.