Organization Active NPI

Springville City Corporation

  • Land Ambulance
  • Springville, UT
National Provider Identifier
1619047263
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2508L Issued in UT
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

Updated by the provider on Apr 5, 2011

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20110912000141 UT Part B Supplier - Ambulance Service Supplier 2769653369 Practice locations: Springville, UT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.