Organization Active NPI

Syracuse City Corporation

  • Land Ambulance
  • Syracuse, UT
National Provider Identifier
1275531139
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0618L Issued in UT
Legal business name
SYRACUSE CITY CORPORATION
Practice address
1787 S 2000 W
Syracuse, UT 84075-9219
Phone
(801) 825-1477
Fax
(801) 825-3001
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J. Michael Moyes
Title
City Administrator
Phone
(801) 825-1477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0618L UT Primary

Addresses

Primary practice location

1787 S 2000 W
Syracuse, UT 84075-9219

Mailing address

1787 S 2000 W
Syracuse, UT 84075-9219
Phone (801) 825-1477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110317000475 UT Part B Supplier - Ambulance Service Supplier 6103009808 Practice locations: Syracuse, UT

National Provider Directory

National Provider Directory

Locations

1869 S 3000 W
Syracuse, UT 84075
Phone (801) 614-9607

1787 S 2000 W
Syracuse, UT 84075
Phone (801) 825-1477

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275531139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759219",
            "telephone_number": "801-825-1477",
            "fax_number": "801-825-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 S 2000 W",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759219",
            "telephone_number": "801-825-1477",
            "fax_number": "801-825-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOYES",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "801-825-1477"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0618L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.