City of Orem Corporation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2506L Issued in UT

Legal business name

CITY OF OREM CORPORATION

Doing business as

City of Orem Fire Department

Practice address

56 N State St
Orem, UT 84057

Phone

(855) 978-6305

Fax

(888) 972-9641

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Brandon C Nelson

Title

Finance Director

Phone

(801) 229-7010

Specialties & licenses 1

Addresses

Other names 1

• City of Orem Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642723200000",
    "number": "1902953672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27471",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270471",
            "telephone_number": "855-978-6305",
            "fax_number": "888-972-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 N STATE ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "855-978-6305",
            "fax_number": "888-972-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OREM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "801-229-7010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2506L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Orem Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin Kaiwinui Chung-Hoon, PT, PHD
• Olivia Ann Church
• Seth Church
• Emery M. Churchill
• Cirque Lodge Inc.
• Allison Joy Clark, RDN, MPP
• Jay D Clark, M.D.
• Jennifer Elaine Clark
• Jill Clark
• Julie B Clark, PHD

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

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