Mapleton City Corporation
Organization Active NPI Land Ambulance · Mapleton, UT
NPI 1497943351 · NPPES record last updated Nov 10, 2011
Key facts
- NPI
- 1497943351
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 2518L (UT)
- Legal business name
- MAPLETON CITY CORPORATION
- Practice address
- 35 E Maple St
Mapleton, UT 84664-4602 - Phone
- (801) 491-8048
- NPI assigned
- Oct 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dean L Pettersson
- Title
- Chief
- Phone
- (801) 491-8048
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111206000112 | UT | Part B Supplier - Ambulance Service Supplier | 2466627336 | Practice locations: Mapleton, UT |
National Provider Directory
Locations
125 W Community Center Way
#400N
Mapleton, UT 84664
125 W Community Center Way
Mapleton, UT 84664
305 N Main St
Mapleton, UT 84664
Phone (801) 489-5659
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2518L | UT | Yes |
Addresses
Primary practice location
35 E Maple St
Mapleton, UT 84664-4602
Mailing address
125 W Community Center Way
Mapleton, UT 84664
Phone (801) 298-4747
Other names
- Mapleton City Ambulance
Other providers in Mapleton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.