Active NPI
County of Summit
- Land Ambulance
- Park City, UT
National Provider Identifier
1164451985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COUNTY OF SUMMIT
- Practice address
- 736 Bitner Rd
Park City, UT 84098-5432 - Phone
- (435) 940-2500
- Fax
- (435) 940-2451
- NPI assigned
- Jul 2, 2006
- 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
- Frank Heumann
- Title
- Fire Chief
- Phone
- (435) 940-2502
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
736 Bitner Rd
Park City, UT 84098-5432
Mailing address
PO Box 95970
South Jordan, UT 84095-0970
Phone (801) 352-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164451985 | Medicaid | UT | |
| 590011561 | Other | UT | RAILROAD MEDICARE |
Other names 1
- North Summit 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 |
|---|---|---|---|---|
| O20091217000301 | UT | Part B Supplier - Ambulance Service Supplier | 6608916994 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Coalville, UT; Kamas, UT |
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 ER
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Kamas, UT
- NPI 1144259805
-
- Public Health or Welfare Agency
- Park City, UT
- NPI 1508872177
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": "1301443200000",
"number": "1164451985",
"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": "736 BITNER RD",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985432",
"telephone_number": "435-940-2500",
"fax_number": "435-940-2451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SUMMIT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2011-03-30",
"status": "A",
"authorized_official_last_name": "HEUMANN",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "435-940-2502"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164451985",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590011561",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North Summit Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.