Active NPI
Kaysville City Corporation
- Land Ambulance
- Kaysville, UT
National Provider Identifier
1730259276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0605D
- Legal business name
- KAYSVILLE CITY CORPORATION
- Practice address
- 175 S Main St
Kaysville, UT 84037-2526 - Phone
- (801) 544-2860
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brett Larkin
- Title
- Cheif
- Phone
- (801) 544-2860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0605D | UT | Primary |
Addresses
Primary practice location
175 S Main St
Kaysville, UT 84037-2526
Mailing address
PO Box 30015
Dept 275
Salt Lake City, UT 84130-0015
Phone (801) 295-9880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000927 | UT | Part B Supplier - Ambulance Service Supplier | 0244144970 | Practice locations: Kaysville, UT |
National Provider Directory
National Provider DirectoryLocations
175 S Main St
Kaysville, UT 84037
Phone (801) 544-2860
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": "1300406400000",
"number": "1730259276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30015",
"address_2": "DEPT 275",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300015",
"telephone_number": "801-295-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S MAIN ST",
"city": "KAYSVILLE",
"state": "UT",
"postal_code": "840372526",
"telephone_number": "801-544-2860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAYSVILLE CITY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2011-03-18",
"status": "A",
"authorized_official_last_name": "LARKIN",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "CHEIF",
"authorized_official_telephone_number": "801-544-2860"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "UT",
"license": "0605D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaysville, UT
- Jones Dental Management, LLC (Kaysville Pediatric Dental)
- Marci Jones, LCSW
- Michael Brandon Jones, DMD
- Layne K Kamalu, M.D.
- Kayscreek Dental PLLC
- Kaysville Family Dentistry LLC
- Kaysville Family Medicine PC
- Denise Ellen Kearl, LCSW
- Keeley Mendenhall, LCSW, LLC
- Kelson Physician Partners of Layton, Inc. (Wee Care Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.