East Carbon City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0401L Issued in UT

Legal business name

EAST CARBON CITY

Doing business as

East Carbon City-Sunnyside Ambulance Svc

Practice address

101 West Geneva Drive
East Carbon, UT 84520-0070

Phone

(435) 650-0299

Fax

(435) 888-0409

NPI assigned

Jul 21, 2005

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Robinett

Title

EMS Coordinator

Phone

(435) 650-0299

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• East Carbon City-Sunnyside Ambulance Svc Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1245230192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "101 WEST GENEVA DRIVE",
            "city": "EAST CARBON",
            "state": "UT",
            "postal_code": "845200070",
            "telephone_number": "435-650-0299",
            "fax_number": "435-888-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST GENEVA DRIVE",
            "city": "EAST CARBON",
            "state": "UT",
            "postal_code": "845200070",
            "telephone_number": "435-650-0299",
            "fax_number": "435-888-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CARBON CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "ROBINETT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "435-650-0299"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0401L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729108",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0562432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Carbon City-Sunnyside Ambulance Svc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea D. Barney, APRN
• Carbon Medical Service Association, Incorporated (The Helper Clinic)
• Alma Joyce Caviness, REGISTERED PHARMACIS
• Samantha Cline Fluckiger
• Jonathan Blair Gardner, D.D.S.
• Dalen Lee Johnson, APRN
• Marvin Joseph Morrison, APRN
• Russell Raymond Scow, PHARMD

• Land Ambulance in East Carbon, UT
• Providers in East Carbon, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.