Organization Active NPI

Gold Cross Services, Inc.

Doing business as Gold Cross Ambulance

  • Land Ambulance
  • Salt Lake City, UT
National Provider Identifier
1679560502
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1803L Issued in UT
Legal business name
GOLD CROSS SERVICES, INC.
Doing business as
Gold Cross Ambulance
Practice address
1717 S Redwood Rd
Salt Lake City, UT 84104-5110
Phone
(801) 975-4385
Fax
(801) 975-4359
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Kris A Peterson
Title
Collections Manager
Phone
(801) 975-4339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1803L UT Primary

Addresses

Primary practice location

1717 S Redwood Rd
Salt Lake City, UT 84104-5110

Mailing address

1717 S Redwood Rd
Salt Lake City, UT 84104-5110
Phone (801) 975-4385

Other names 1

  • Gold Cross Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100113000749 UT Part B Supplier - Ambulance Service Supplier 9436209913 Practice locations: Salt Lake City, UT; Sandy, UT; St George, UT; Vernal, UT; Provo, UT; Parowan, UT; Cedar City, UT; Beryl, UT…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0858155Gold Cross Services Inc1717 S Redwood Rd, Salt Lake City, UT 84104Provider-performed microscopyMar 20, 2028

National Provider Directory

National Provider Directory

Locations

925 N 500 W
#8
Provo, UT 84604

270 W 300 N
#2
Salt Lake City, UT 84103

211 S 500 E
#1
Salt Lake City, UT 84102

1085 E Simpson Ave
#3
Salt Lake City, UT 84106

947 S 200 W
Salt Lake City, UT 84101

785 S Arapeen Dr
#10
Salt Lake City, UT 84108

6660 S 400 W
#4
Salt Lake City, UT 84107

762 S Redwood Rd
Salt Lake City, UT 84104

9010 S 150 E
#31
Sandy, UT 84070

946 W Sunset Blvd
Ste Q
St George, UT 84770

4241 S River Rd
#450
St George, UT 84790

267 E 1400 S
Ste 104
St George, UT 84790

615 N 3050 E
Ste B9
St George, UT 84790

314 N 3050 E
St George, UT 84790

220 W 100 S
Vernal, UT 84078

3550 S 5600 W
#4
West Valley, UT 84120

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": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679560502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841045110",
            "telephone_number": "801-975-4385",
            "fax_number": "801-975-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S REDWOOD RD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841045110",
            "telephone_number": "801-975-4385",
            "fax_number": "801-975-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CROSS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "801-975-4339",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "1803L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Cross Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.