NPIMap

Organization Active NPI

Santaquin City Corp

  • Land Ambulance
  • Santaquin, UT
National Provider Identifier
1376696559
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2512L Issued in UT
Legal business name
SANTAQUIN CITY CORP
Practice address
45 W 100 S
Santaquin, UT 84655-8009
Phone
(801) 754-1070
NPI assigned
Jan 19, 2007
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Paul Terry
Title
Director of EMS
Phone
(801) 754-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2512L UT Primary

Addresses

Primary practice location

45 W 100 S
Santaquin, UT 84655-8009

Mailing address

45 W 100 S
Santaquin, UT 84655-8009
Phone (801) 754-1070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100717000273 UT Part B Supplier - Ambulance Service Supplier 5193857712 Practice locations: Santaquin, UT

National Provider Directory

National Provider Directory

Locations

275 W Main St
Santaquin, UT 84655
Phone (801) 754-1904

45 W 100 S
Santaquin, UT 84655
Phone (801) 754-1070

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": "1283990400000",
    "number": "1376696559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W 100 S",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846558009",
            "telephone_number": "801-754-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 100 S",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "846558009",
            "telephone_number": "801-754-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTAQUIN CITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "801-754-1070"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2512L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santaquin, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.