Scipio Town Corporation
Organization Active NPI Ambulance · Scipio, UT
NPI 1235326679 · NPPES record last updated May 7, 2008
Key facts
- NPI
- 1235326679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1403L (UT)
- Legal business name
- SCIPIO TOWN CORPORATION
- Practice address
- 160 North State STR
Scipio, UT 84656-0063 - Phone
- (435) 758-2411
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Larry K Robison
- Title
- Training Officer
- Phone
- (435) 758-2411
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080506000704 | UT | Part B Supplier - Ambulance Service Supplier | 4284713967 | Practice locations: Scipio, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1403L | UT | Yes |
Addresses
Primary practice location
160 North State STR
Scipio, UT 84656-0063
Mailing address
160 North State St
Scipio, UT 84656-0063
Phone (435) 758-2411
Other names
- Scipio Ambulance
Other providers in Scipio, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.