NPIMap

Organization Active NPI

County of Summit

Doing business as South Summit Ambulance

  • Land Ambulance
  • Kamas, UT
National Provider Identifier
1144259805
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF SUMMIT
Doing business as
South Summit Ambulance
Practice address
210 East 400 South
Kamas, UT 84036-0266
Phone
(435) 783-6276
Fax
(435) 783-6277
NPI assigned
Jul 2, 2006
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Blake L Frazier
Title
Auditor
Phone
(435) 336-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

210 East 400 South
Kamas, UT 84036-0266

Mailing address

PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500

Other identifiers 2

IdentifierTypeStateIssuer
590011561OtherUTRAILROAD MEDICARE
1144259805MedicaidUT

Other names 1

  • South Summit Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091217000301 UT Part B Supplier - Ambulance Service Supplier 6608916994 2 other NPIs on this enrollment
Practice locations: Coalville, UT; Kamas, UT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Summit City Hospital ER3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

736 Bitner Rd
Park City, UT 84098
Phone (435) 940-2500

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1144259805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 EAST 400 SOUTH",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840360266",
            "telephone_number": "435-783-6276",
            "fax_number": "435-783-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUDITOR",
        "authorized_official_telephone_number": "435-336-3254"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011561",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144259805",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Summit Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kamas, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.