Provo City Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2505L Issued in UT

Legal business name

PROVO CITY CORPORATION

Practice address

80 S 300 W
Provo, UT 84601-4362

Phone

(801) 852-6321

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dale Maughan

Title

Fire Chief

Phone

(801) 852-6321

Specialties & licenses 1

Addresses

Other names 1

• Provo City Fire/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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1235209784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26291",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260291",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S 300 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846014362",
            "telephone_number": "801-852-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVO CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-852-6321"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2505L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provo City Fire/Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Anderson Proctor
• Professional Clinical Management
• Provas of Provo
• Provo Care Center
• Provo City Board of Education
• Provo City School District
• Provo Counseling Center
• Provo Counseling Center
• Provo Dental Care LLC
• Provo Dialysis Center University of Utah

• Land Ambulance in Provo, UT
• Providers in Provo, 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 7, 2011; 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.