South Weber City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTH WEBER CITY

Practice address

7365 S 1375 E
South Weber, UT 84405

Phone

(801) 941-5961

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Derek Tolman

Title

Chief

Phone

(801) 941-5961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1194218461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E SOUTH WEBER DR",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "844059659",
            "telephone_number": "801-941-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 S 1375 E",
            "city": "SOUTH WEBER",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-941-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEBER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "TOLMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "801-941-5961"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pryme Corp.
• Redefined Therapy and Coaching, PLLC
• Rocky Point Anesthesia
• Cheryl Roper, PTA
• Cara V Schwab, RD, IBCLC
• Tanner Curtis Taggart
• Jershon Evan Varble
• Kansas Whitear
• John Chapman Whitlock II, CRNA
• Brandon Wilson, D.C.

• Land Ambulance in South Weber, UT
• Providers in South Weber, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.