Organization Active NPI

City of South Salt Lake

  • Land Ambulance
  • Salt Lake City, UT
National Provider Identifier
1417198326
Registry record updated May 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on May 11, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417198326MedicaidUT

Other names 1

  • South Salt Lake Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091003000028 UT Part B Supplier - Ambulance Service Supplier 6507902624 Practice locations: South Salt Lake, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2196586South Salt Lake Fire Department2600 South Main Street, South Salt Lake, UT 84115Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.