Organization Active NPI

Farmington City Corp

  • Land Ambulance
  • Farmington, UT
National Provider Identifier
1629148085
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0630L Issued in UT
Legal business name
FARMINGTON CITY CORP
Practice address
130 N Main St
Farmington, UT 84025-3518
Phone
(801) 451-2842
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Guido Smith
Title
Fire Chief
Phone
(801) 451-2842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0630L UT Primary

Addresses

Primary practice location

130 N Main St
Farmington, UT 84025-3518

Mailing address

PO Box 160
Farmington, UT 84025-0160
Phone (801) 295-9880

Other names 1

  • Farmington Fire/Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110909002562 UT Part B Supplier - Ambulance Service Supplier 4284804857 Practice locations: Farmington, UT

National Provider Directory

National Provider Directory

Locations

563 W 500 S
Ste 120
Bountiful, UT 84010

82 N 100 E
Farmington, UT 84025
Phone (801) 255-0400

130 N Main St
Farmington, UT 84025
Phone (801) 451-2842

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1315526400000",
    "number": "1629148085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250160",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253518",
            "telephone_number": "801-451-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CITY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUIDO",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-451-2842"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0630L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Fire/Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.