Organization Active NPI

Tremonton City

  • Land Ambulance
  • Tremonton, UT
National Provider Identifier
1508912940
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0202L Issued in UT
Legal business name
TREMONTON CITY
Practice address
102 S Tremont St
Tremonton, UT 84337-1636
Phone
(435) 257-9502
Fax
(435) 257-9513
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Shawn Warnke
Title
City Manager
Phone
(435) 257-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0202L UT Primary

Addresses

Primary practice location

102 S Tremont St
Tremonton, UT 84337-1636

Mailing address

102 S Tremont St
Tremonton, UT 84337-1636
Phone (435) 257-9502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000468 UT Part B Supplier - Ambulance Service Supplier 3577696038 Practice locations: Tremonton, UT

National Provider Directory

National Provider Directory

Locations

95 S 100 W
Tremonton, UT 84337
Phone (435) 257-9500

102 S Tremont St
Tremonton, UT 84337
Phone (435) 257-9502

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1508912940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S TREMONT ST",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843371636",
            "telephone_number": "435-257-9502",
            "fax_number": "435-257-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S TREMONT ST",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843371636",
            "telephone_number": "435-257-9502",
            "fax_number": "435-257-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREMONTON CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "WARNKE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "435-257-9504"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0202L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremonton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.