North Summit Fire Service District
Organization Active NPI Land Ambulance · Henefer, UT
NPI 1295516219 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1295516219
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- NORTH SUMMIT FIRE SERVICE DISTRICT
- Practice address
- 310 S Henefer Road
Henefer, UT 84033 - Phone
- (435) 336-2221
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
Authorized official
- Name
- Benjamin L Nielson
- Title
- Fire Chief
- Phone
- (435) 336-2221
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240207004218 | UT | Part B Supplier - Ambulance Service Supplier | 1456794361 | Practice locations: Coalville, UT; Henefer, UT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
310 S Henefer Road
Henefer, UT 84033
Mailing address
PO Box 187
Coalville, UT 84017-0187
Phone (435) 336-2221
Other names
- North Summit Fire District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. 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.