Logan City Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LOGAN CITY CORPORATION

Doing business as

Logan City Fire Department

Practice address

76 E 200 N
Logan, UT 84321-4034

Phone

(435) 716-9500

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Richard Pickering Anderson

Title

Finance Director

Phone

(435) 716-9810

Specialties & licenses 1

Addresses

Other names 1

• Logan City Fire Department 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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1336746940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N 100 W",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213902",
            "telephone_number": "435-716-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 E 200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214034",
            "telephone_number": "435-716-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PICKERING",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "435-716-9810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan City Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Liston, DO
• Lila Jaclyn Littledike, SLP
• Living Tree Medical Group
• Living Tree Urgent Care
• Dillon James Lloyd
• Logan City School District
• Logan Dental Assoicates
• Logan Eye Institute, PLLC
• Logan Mental Health and Wellness LLC
• Logan Optical

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.