Active NPI
City of South Salt Lake
- Land Ambulance
- Salt Lake City, UT
National Provider Identifier
1417198326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF SOUTH SALT LAKE
- Practice address
- 2600 S Main St
Salt Lake City, UT 84115-3023 - Phone
- (801) 483-6043
- NPI assigned
- Mar 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven F Foote
- Title
- Fire Chief
- Phone
- (801) 483-6043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | UT | Primary |
Addresses
Primary practice location
2600 S Main St
Salt Lake City, UT 84115-3023
Mailing address
2600 S Main St
Salt Lake City, UT 84115-3023
Phone (801) 483-6043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417198326 | Medicaid | UT |
Other names 1
- South Salt Lake Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091003000028 | UT | Part B Supplier - Ambulance Service Supplier | 6507902624 | Practice locations: South Salt Lake, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2196586 | South Salt Lake Fire Department | Certificate of waiver | Oct 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
220 Morris Ave
Ste 200
South Salt Lake, UT 84115
Phone (801) 483-6000
2600 S Main St
South Salt Lake, UT 84115
Phone (801) 483-6043
220 Morris Ave
South Salt Lake, UT 84115
Phone (801) 483-6000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1417198326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153023",
"telephone_number": "801-483-6043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S MAIN ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153023",
"telephone_number": "801-483-6043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF SOUTH SALT LAKE",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-23",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "FOOTE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "801-483-6043",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417198326",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Salt Lake Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.