Organization Active NPI

South Summit Fire Protection District

  • Land Ambulance
  • Kamas, UT
National Provider Identifier
1861262933
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH SUMMIT FIRE PROTECTION DISTRICT
Practice address
102 Thorn Creek Dr
Kamas, UT 84036-1370
Phone
(435) 783-2375
NPI assigned
Jan 8, 2024
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Melanie Mitchell
Title
Secretary
Phone
(435) 659-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

102 Thorn Creek Dr
Kamas, UT 84036-1370

Mailing address

PO Box 27768
Salt Lake City, UT 84127-0768
Phone (801) 975-4385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240625003864 UT Part B Supplier - Ambulance Service Supplier 6406390905 Practice locations: Kamas, UT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1861262933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27768",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270768",
            "telephone_number": "801-975-4385",
            "fax_number": "801-975-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 THORN CREEK DR",
            "city": "KAMAS",
            "state": "UT",
            "postal_code": "840361370",
            "telephone_number": "435-783-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SUMMIT FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "435-659-8553"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamas, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.