NPIMap

Organization Active NPI

Brigham City Corporation

  • Land Ambulance
  • Brigham City, UT
National Provider Identifier
1285787531
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0201L Issued in UT
Legal business name
BRIGHAM CITY CORPORATION
Practice address
20 N Main St
Brigham City, UT 84302-2171
Phone
(435) 734-2001
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Jim Buchanan
Title
Chief
Phone
(435) 737-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0201L UT Primary

Addresses

Primary practice location

20 N Main St
Brigham City, UT 84302-2171

Mailing address

PO Box 27475
Salt Lake City, UT 84127-0475
Phone (801) 295-9880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000557 UT Part B Supplier - Ambulance Service Supplier 6507035292 Practice locations: Brigham City, UT

National Provider Directory

National Provider Directory

Locations

20 N Main St
Brigham City, UT 84302
Phone (435) 226-1400

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1285787531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27475",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270475",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843022171",
            "telephone_number": "435-734-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "435-737-2001"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0201L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brigham City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.