Organization Active NPI

County of Box Elder

  • Land Ambulance
  • Brigham City, UT
National Provider Identifier
1215063060
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF BOX ELDER
Practice address
1 S Main St
Brigham City, UT 84302-2548
Phone
(435) 734-3331
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Mr. Cory D Oaks, MRP-FPC
Title
EMS Director
Phone
(801) 885-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1 S Main St
Brigham City, UT 84302-2548

Mailing address

PO Box 27768
Salt Lake City, UT 84127
Phone (801) 972-3600

Other names 1

  • Box Elder County Fire/ EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250617003019 UT Part B Supplier - Ambulance Service Supplier 1658882527 Practice locations: Brigham City, UT; Grouse Creek, UT; Park Valley, UT

National Provider Directory

National Provider Directory

Locations

1 S Main St
Brigham City, UT 84302
Phone (435) 734-3331

49 S 950 W
Brigham City, UT 84302
Phone (435) 734-3345

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1215063060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27768",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84127",
            "telephone_number": "801-972-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022548",
            "telephone_number": "435-734-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BOX ELDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "OAKS",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "801-885-6300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MRP-FPC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Box Elder County Fire/ EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.