Active NPI
Ogden City Corporation
- Ambulance
- Ogden, UT
National Provider Identifier
1801968243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- A2920L
- Legal business name
- OGDEN CITY CORPORATION
- Practice address
- 2186 Lincoln Ave
Ogden, UT 84401-1343 - Phone
- (801) 629-8069
- Fax
- (801) 629-8065
- NPI assigned
- Nov 14, 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
- Mike L. Mathieu
- Title
- Fire Chief
- Phone
- (801) 629-8069
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | A2920L | UT | Primary |
Addresses
Primary practice location
2186 Lincoln Ave
Ogden, UT 84401-1343
Mailing address
2186 Lincoln Ave
Ogden, UT 84401-1343
Phone (801) 629-8069
Other names 1
- Ogden City Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090521000362 | UT | Part B Supplier - Ambulance Service Supplier | 9335298306 | Practice locations: Ogden, UT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0684234 | Ogden City Fire Department | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2186 Lincoln Ave
Ogden, UT 84401
Phone (801) 629-8069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239667200000",
"number": "1801968243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2186 LINCOLN AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011343",
"telephone_number": "801-629-8069",
"fax_number": "801-629-8065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2186 LINCOLN AVE",
"city": "OGDEN",
"state": "UT",
"postal_code": "844011343",
"telephone_number": "801-629-8069",
"fax_number": "801-629-8065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGDEN CITY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2009-04-14",
"status": "A",
"authorized_official_last_name": "MATHIEU",
"authorized_official_first_name": "MIKE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "801-629-8069"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "UT",
"license": "A2920L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ogden City Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.