Ute Indian Tribe

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UTE INDIAN TRIBE

Practice address

East Highway 40
Ft Duschesne, UT 84026

Phone

(435) 572-2228

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Beverly J Burt, EMTI

Title

EMS Director

Phone

(435) 722-2286

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ute Tribe Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Tax ID family

Ute Indian Tribe3 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.

• Red Pine RTC

  • Substance Abuse Rehabilitation Facility
  • Fort Duchesne, UT
  • NPI 1124644430
  NPD tax ID
• Ute Tribe Alcohol/Substance Abuse Prevention

  • Community/Behavioral Health Agency
  • Fort Duchesne, UT
  • NPI 1225401763
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Red Pine RTC

  • Substance Abuse Rehabilitation Facility
  • Fort Duchesne, UT
  • NPI 1124644430
  NPPES parent name

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1922031533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 876",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010876",
            "telephone_number": "888-834-5032",
            "fax_number": "435-613-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EAST HIGHWAY 40",
            "city": "FT DUSCHESNE",
            "state": "UT",
            "postal_code": "84026",
            "telephone_number": "435-572-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTE INDIAN TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "435-722-2286",
        "authorized_official_credential": "EMTI"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922031533",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ute Tribe Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.