Active NPI
Springville City Corporation
- Land Ambulance
- Springville, UT
National Provider Identifier
1619047263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2508L
- Legal business name
- SPRINGVILLE CITY CORPORATION
- Practice address
- 50 S Main St
Springville, UT 84663-1358 - Phone
- (801) 489-5676
- NPI assigned
- Nov 9, 2006
- 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
- Henry L Clinton
- Title
- Chief
- Phone
- (801) 489-5676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2508L | UT | Primary |
Addresses
Primary practice location
50 S Main St
Springville, UT 84663-1358
Mailing address
PO Box 1706
Salt Lake City, UT 84110-1706
Phone (801) 295-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110912000141 | UT | Part B Supplier - Ambulance Service Supplier | 2769653369 | Practice locations: Springville, UT |
National Provider Directory
National Provider DirectoryLocations
50 S Main St
Springville, UT 84663
Phone (801) 489-5676
75 W Center St
Springville, UT 84663
Phone (801) 465-9201
110 S Main St
Springville, UT 84663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301961600000",
"number": "1619047263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1706",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841101706",
"telephone_number": "801-295-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST",
"city": "SPRINGVILLE",
"state": "UT",
"postal_code": "846631358",
"telephone_number": "801-489-5676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGVILLE CITY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2011-04-05",
"status": "A",
"authorized_official_last_name": "CLINTON",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "801-489-5676"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "UT",
"license": "2508L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.