North Sanpete Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2002L Issued in UT

Legal business name

NORTH SANPETE AMBULANCE SERVICE

Practice address

1100 S Medical Dr
Mt Pleasant, UT 84647-2222

Phone

(435) 436-8317

Fax

(435) 436-5317

NPI assigned

Aug 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lewis Rasmussen

Title

Board Chairman

Phone

(435) 445-3571

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tracy R Braithwaite

  • Student in an Organized Health Care Education/Training Program
  • Moroni, UT
  • NPI 1477366805
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679689632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "MORONI",
            "state": "UT",
            "postal_code": "846460015",
            "telephone_number": "435-436-8317",
            "fax_number": "435-436-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MEDICAL DR",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846472222",
            "telephone_number": "435-436-8317",
            "fax_number": "435-436-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SANPETE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "435-445-3571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2002L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000303001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan S. Huntington, DDS, PC
• Sherm Jay Nielsen
• Jennifer Nielson
• Monica Niles
• Jennifer Nim, O.D.
• North Sanpete School District
• Charles E Nunn, MD
• Candace Odom
• Glen S Olson, DDS
• Matthew Osmond

• Land Ambulance in Mt Pleasant, UT
• Providers in Mt Pleasant, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.