Active NPI
Murray City Corp
- Land Ambulance
- Murray, UT
National Provider Identifier
1528221561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1868L
- Legal business name
- MURRAY CITY CORP
- Practice address
- 40 E 4800 S
Murray, UT 84107-3762 - Phone
- (801) 264-2781
- Fax
- (801) 264-2787
- NPI assigned
- Jul 9, 2008
- 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. Mike Thomas Dykman
- Title
- Battalion Chief - EMS
- Phone
- (801) 264-2786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1868L | UT | Primary |
Addresses
Primary practice location
40 E 4800 S
Murray, UT 84107-3762
Mailing address
40 E 4800 S
Murray, UT 84107-3762
Phone (801) 264-2781
Other names 1
- Murray City 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 |
|---|---|---|---|---|
| O20090313000523 | UT | Part B Supplier - Ambulance Service Supplier | 0941367148 | Practice locations: Murray, UT |
National Provider Directory
National Provider DirectoryLocations
996 E Vine St
Murray, UT 84121
Phone (801) 264-2781
484 W 5900 S
Murray, UT 84123
Phone (801) 264-2781
163 E 5900 S
Murray, UT 84107
Phone (801) 264-2781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236556800000",
"number": "1528221561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 E 4800 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073762",
"telephone_number": "801-264-2781",
"fax_number": "801-264-2787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 E 4800 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841073762",
"telephone_number": "801-264-2781",
"fax_number": "801-264-2787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MURRAY CITY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-09",
"last_updated": "2009-03-09",
"status": "A",
"authorized_official_last_name": "DYKMAN",
"authorized_official_first_name": "MIKE",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "BATTALION CHIEF - EMS",
"authorized_official_telephone_number": "801-264-2786",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "UT",
"license": "1868L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Murray City Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.