Organization Active NPI

Murray City Corp

  • Land Ambulance
  • Murray, UT
National Provider Identifier
1528221561
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1868L Issued in UT
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

Updated by the provider on Mar 9, 2009

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000523 UT Part B Supplier - Ambulance Service Supplier 0941367148 Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.