Pleasant Grove City Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2504L Issued in UT

Legal business name

PLEASANT GROVE CITY CORPORATION

Practice address

70 S 100 E
Pleasant Grove, UT 84062-2702

Phone

(801) 785-5045

Fax

(801) 785-8925

NPI assigned

Jul 5, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Molly June Purdie

Title

Billing Clerk

Phone

(801) 785-5045

Specialties & licenses 1

Addresses

Other names 1

• PLEASANT GROVE 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": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1235136235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S 100 E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622702",
            "telephone_number": "801-785-5045",
            "fax_number": "801-785-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S 100 E",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840622702",
            "telephone_number": "801-785-5045",
            "fax_number": "801-785-8925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT GROVE CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "PURDIE",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "801-785-5045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2504L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLEASANT GROVE CITY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Pierce
• Sharrai Janae Pifer
• Piinnacle Dental Parrtners
• Natalie E Pitts, RBT
• K Brent Platt, LCSW
• Nada Breanna Plooster, CSW
• Richard Omer Plothow
• Kristin Pond, ATC
• Christopher Pope, OD
• Glen T. Porter, MD

• Land Ambulance in Pleasant Grove, UT
• Providers in Pleasant Grove, 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, 2010; 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.