Hildale Town Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2720L Issued in UT

Legal business name

HILDALE TOWN CORP

Doing business as

Hildale Fire Department

Practice address

900 North 350 East
Hildale, UT 84784-1588

Phone

(435) 874-2400

Fax

(435) 874-2753

NPI assigned

Jun 14, 2007

Last updated

Mar 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen Jeffs

Title

Manager

Phone

(435) 874-2400

Specialties & licenses 1

Addresses

Other names 1

• Hildale 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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1982808705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841588",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847841588",
            "telephone_number": "435-874-2400",
            "fax_number": "435-874-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTH 350 EAST",
            "city": "HILDALE",
            "state": "UT",
            "postal_code": "847841588",
            "telephone_number": "435-874-2400",
            "fax_number": "435-874-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILDALE TOWN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "JEFFS",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-874-2400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2720L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hildale Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyson Hannig, CPSS
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• Trent C May, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.