Organization Active NPI

City of Clinton

Doing business as Clinton City Fire Department Ambulance

  • Land Ambulance
  • Clinton, UT
National Provider Identifier
1699828855
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0612L Issued in UT
Legal business name
CITY OF CLINTON
Doing business as
Clinton City Fire Department Ambulance
Practice address
2267 N 1500 W
Clinton, UT 84015-8309
Phone
(801) 614-0700
NPI assigned
Jan 19, 2007
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
David Olsen
Title
Fire Chief
Phone
(801) 614-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0612L UT Primary

Addresses

Primary practice location

2267 N 1500 W
Clinton, UT 84015-8309

Mailing address

PO Box 27671
Salt Lake City, UT 84127-0671
Phone (801) 295-9880

Other names 1

  • Clinton City Fire Department Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000865 UT Part B Supplier - Ambulance Service Supplier 7214841295 Practice locations: Clinton, UT

National Provider Directory

National Provider Directory

Locations

1906 W 1800 N
Clinton, UT 84015

2153 N 1500 W
Clinton, UT 84015
Phone (801) 614-0840

2267 N 1500 W
Clinton, UT 84015
Phone (801) 614-0700

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1699828855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27671",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270671",
            "telephone_number": "801-295-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2267 N 1500 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158309",
            "telephone_number": "801-614-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLINTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "801-614-0700"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "0612L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton City Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.