South Davis Metro Fire Service Area

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0637L Issued in UT

Legal business name

SOUTH DAVIS METRO FIRE SERVICE AREA

Practice address

255 S 100 W
Bountiful, UT 84010-6273

Phone

(801) 677-2400

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Jeff Bassett

Title

Fire Chief

Phone

(801) 677-2400

Specialties & licenses 1

Addresses

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": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1336694371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S 100 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106273",
            "telephone_number": "801-677-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S 100 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106273",
            "telephone_number": "801-677-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAVIS METRO FIRE SERVICE AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-677-2400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0637L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Sorenson, CSW
• Terra Marie Soto, OTR/L
• South Davis Community Hospital (Orchard Cove)
• South Davis Community Hospital, Inc. (The Inn on Barton Creek)
• South Davis Metro Fire Agency
• South Davis Pediatric Dentistry LLC
• Southern Mental Health Therapy PLLC
• Scott E Southworth, MD
• Parker Sovic
• Mandi Spens, PMHNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.