County of Wasatch

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF WASATCH

Practice address

55 S 500 E
Heber City, UT 84032-1918

Phone

(435) 654-2700

Fax

(435) 654-2705

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Cameron D. Mitchell, M.P.S., L.E.H.S.

Title

Health Director

Phone

(435) 657-3263

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Wasatch County Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wasatch County Fire Protection Special Service District

  • Land Ambulance
  • Heber City, UT
  • NPI 1568574846

  4688702251

  Same PAC ID

Tax ID family

Wasatch City County Hea3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wasatch County

  • Community/Behavioral Health Agency
  • Heber City, UT
  • NPI 1396962221
  NPD tax ID
• Wasatch County Health Department

  • Public Health or Welfare Agency
  • Heber City, UT
  • NPI 1407031255
  NPD tax ID

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891721577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 500 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321918",
            "telephone_number": "435-654-2700",
            "fax_number": "435-654-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 500 E",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321918",
            "telephone_number": "435-654-2700",
            "fax_number": "435-654-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WASATCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "435-657-3263",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.S., L.E.H.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "UT",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "46106",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "998877673007",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "TPR09150",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wasatch County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health and Wellness, PLLC
• Christopher David Cook, D.O.
• Jessica Snyder Cooke, D.P.T.
• Joseph Allen Coombs, PHYSICIAN ASSISTANT
• William Benjamin Cordova Sr., PHARMD
• Hannah Mary Cowan, RDN
• Jane Craigo, NP
• Rebeca Britney Cruz-Gonzalez, SLP-CF
• Michael A Dagley, CRNA
• Daniels Academy

• Public Health or Welfare Agency in Heber City, UT
• Providers in Heber City, UT by specialty
• Public Health or Welfare Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.