Active NPI
County of Box Elder
- Land Ambulance
- Brigham City, UT
National Provider Identifier
1215063060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.