PEGASUS LIFTS NORTHERN UTAH, LLC (NPI# 1134621550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134621550 |
| Entity Type | Organization |
| Organization Name | PEGASUS LIFTS NORTHERN UTAH, LLC |
| Practice Address |
1361 N 1075 W Ste 10 Farmington UT 84025-2876 |
| Practice Telephone | 8016957042 |
| Mailing Telephone | 8016957042 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | JACOB BRINKERHOFF (CEO) |
| Authorized Official Telephone | 8016957042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PEGASUS LIFTS NORTHERN UTAH, LLC | 4605 Harrison Blvd Ste 200, Ogden, UT 84403-7043 |
| Street Address |
1361 N 1075 W STE 10 |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225525363 | I Groups Medical Transport LLC | Non-emergency Medical Transport (VAN) | 818 E Main St Trlr 25, Farmington, NM 87401-2729 | 2018-04-14 |
| 1649772211 | Four Corners Transportation | Non-emergency Medical Transport (VAN) | 700 Alise Ave, Farmington, NM 87401-5726 | 2018-02-28 |
| 1336486638 | Cw Transport | Non-emergency Medical Transport (VAN) | 335 Desert Rose Trail, Farmington, NM 87401 | 2013-01-08 |
| 1134465024 | Indigenous Innovations | Non-emergency Medical Transport (VAN) | 913 W Apache St, Farmington, NM 87401-3899 | 2012-12-20 |
| 1649572454 | Southwestern Private Services D/b/a Southwestern Transportation | Non-emergency Medical Transport (VAN) | 408 N Auburn Ave, Farmington, NM 87401-5816 | 2010-11-30 |
| 1902878754 | Navajo Transport Service, Inc. | Non-emergency Medical Transport (VAN) | 904 Sullivan Ave, Farmington, NM 87401-7359 | 2006-02-06 |
| 1619521184 | Roots Transportation LLC | Non-emergency Medical Transport (VAN) | 2012 San Juan Blvd, Farmington, NM 87401-2220 | 2019-08-01 |
| 1437698222 | Sultan Haque | Non-emergency Medical Transport (VAN) | 705 8th St, Farmington, MN 55024-1463 | 2017-02-14 |
| 1316190937 | American Health Corporation | Non-emergency Medical Transport (VAN) | 701 S Main St, Farmington, IL 61531-1460 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446303 | Trusted Transportation | Non-emergency Medical Transport (VAN) | 260 E 200 S, Orem, UT 84058-5553 | 2020-01-25 |
| 1699319079 | Silver Cross Transports | Non-emergency Medical Transport (VAN) | 922 S Daisy Dr, Fruit Heights, UT 84037-3234 | 2019-10-29 |
| 1205497864 | Starzz Transportation | Non-emergency Medical Transport (VAN) | 3570 S 500 W, South Salt Lake, UT 84115-4236 | 2019-06-25 |
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1952878936 | Sush LLC | Non-emergency Medical Transport (VAN) | 2019 E Riverside Dr Ste A102, St George, UT 84790-8692 | 2018-10-29 |
| 1265924708 | Travis Scothern | Non-emergency Medical Transport (VAN) | 8925 S Cold Water Dr Apt 2134, Sandy, UT 84094-1885 | 2018-05-31 |
| 1447749155 | William Patrick Sullenger | Non-emergency Medical Transport (VAN) | 7851 S Chadbourne Dr, Cottonwood Heights, UT 84121-5806 | 2018-05-08 |
| 1205386695 | Loads of Love, LLC | Non-emergency Medical Transport (VAN) | 272 South 2175 West, Lehi, UT 84043 | 2016-10-10 |
| 1053762765 | Comfort At Home Care LLC | Non-emergency Medical Transport (VAN) | 210 N Shirttail Way, Blanding, UT 84511-3220 | 2016-06-23 |
| 1700233616 | Kholbas Inc, Dba Soriba.org Transportation | Non-emergency Medical Transport (VAN) | 125 S 600 E Apt 3, Salt Lake City, UT 84102-1939 | 2016-05-20 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on PEGASUS LIFTS NORTHERN UTAH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.