County of Juab

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1201L Issued in UT

Legal business name

COUNTY OF JUAB

Doing business as

Juab County Ambulance Service

Practice address

160 North Main
Nephi, UT 84648

Phone

(435) 623-3410

NPI assigned

Jan 25, 2007

Last updated

May 23, 2013By 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

Mr. Val Jones

Title

Commissioner

Phone

(435) 623-3410

Specialties & licenses 1

Addresses

Other names 1

• JUAB COUNTY AMBULANCE SERVICE 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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1285780312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NORTH 300 WEST",
            "address_2": "PO BOX 126",
            "city": "TROPIC",
            "state": "UT",
            "postal_code": "847760126",
            "telephone_number": "435-679-8710",
            "fax_number": "435-679-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH MAIN",
            "city": "NEPHI",
            "state": "UT",
            "postal_code": "84648",
            "telephone_number": "435-623-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF JUAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "435-623-3410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "1201L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUAB COUNTY AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Jean Christensen, CPCI
• Clark B. Holladay, LCSW, LC
• Christopher Clark, LCSW
• Jessica Marie Colby
• James A Cope IV, OD
• Rebecca Ann Cowan, M.A., CCC-SLP
• Tyler Robert Cowan
• Amy Gwynn Dart
• Eagle Quest, LLC
• Kathy Farmer, ACMHC

• Land Ambulance in Nephi, UT
• Providers in Nephi, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.