Spanish Fork City Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2509L Issued in UT

Legal business name

SPANISH FORK CITY CORPORATION

Practice address

40 S Main St
Spanish Fork, UT 84660-2031

Phone

(801) 798-5000

Fax

(801) 798-5005

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Don Thomas

Title

Public Safety Supervisor

Phone

(801) 798-5077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spanish Fork City Ambulance Doing business as

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1205985272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602031",
            "telephone_number": "801-798-5000",
            "fax_number": "801-798-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602031",
            "telephone_number": "801-798-5000",
            "fax_number": "801-798-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH FORK CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PUBLIC SAFETY SUPERVISOR",
        "authorized_official_telephone_number": "801-798-5077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2509L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876002842005",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spanish Fork City Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bret J Sorensen, DDS
• Thomas William Sorensen, DDS
• Taylor J Sorenson, DO
• Weston Soudan, DPT
• Sozo Family Wellness PLLC
• Spanish Fork Community Pharmacy, Inc
• Spanish Fork Family Chiropractic
• Caden Spencer, DC
• Roger Wayne Stahle, LATC
• Steps Family Therapy LLC

• Land Ambulance in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.