Organization Active NPI

Payson City Corporation

  • Land Ambulance
  • Payson, UT
National Provider Identifier
1689720344
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2503 L Issued in UT
Legal business name
PAYSON CITY CORPORATION
Practice address
439 W Utah Ave
Payson, UT 84651-2042
Phone
(801) 295-9880
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Elaine Openshaw
Title
EMS Dir
Phone
(801) 465-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2503 L UT Primary

Addresses

Primary practice location

439 W Utah Ave
Payson, UT 84651-2042

Mailing address

439 W Utah Ave
Payson, UT 84651-2042
Phone (801) 295-9880

Other names 1

  • Payson City Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907001547 UT Part B Supplier - Ambulance Service Supplier 4486824174 Practice locations: Payson, UT

National Provider Directory

National Provider Directory
Tax ID family
Payson City Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

388 E 100 N
Payson, UT 84651
Phone (801) 465-5206

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1689720344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 W UTAH AVE",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512042",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W UTAH AVE",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846512042",
            "telephone_number": "801-295-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "OPENSHAW",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "EMS DIR",
        "authorized_official_telephone_number": "801-465-5206"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2503 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Payson City Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.