Bluffdale City Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1869L Issued in UT

Legal business name

BLUFFDALE CITY CORP

Practice address

14350 S 2200 W
Bluffdale, UT 84065-5328

Phone

(801) 254-2200

Fax

(801) 253-3270

NPI assigned

Jul 11, 2008

Last updated

Sep 30, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BLUFFDALE CITY CORPAs reported in NPPES

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

Authorized official

Name

Ms. Marsha V Black, CPC

Title

President

Phone

(801) 295-9886

Specialties & licenses 1

Addresses

Other names 1

• Bluffdale Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Part of

Bluffdale City Corp

Locations

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1881858660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 SOUTH 2200 WEST",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "84065",
            "telephone_number": "801-254-2200",
            "fax_number": "801-253-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 S 2200 W",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840655328",
            "telephone_number": "801-254-2200",
            "fax_number": "801-253-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFDALE CITY CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUFFDALE CITY CORP",
        "enumeration_date": "2008-07-11",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-295-9886",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "1869L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluffdale Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asenath Barlow, CPM, LDEM
• Joshua Dane Beauchamp
• Jenni P. Bell
• Better Humans Therapy
• Emily Elisabeth Blake, MD
• Bluffdale Dental
• Chelsea Siobhan Boushka
• Jennifer Bowman
• Tara Celine Byrne, CSW
• Trista Carras, MS, LCMHC

• Land Ambulance in Bluffdale, UT
• Providers in Bluffdale, UT by specialty
• Land Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.