MANTI AMBULANCE ASSOCIATION (NPI# 1568553089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568553089 |
Entity Type | Organization |
Organization Name | MANTI AMBULANCE ASSOCIATION |
Practice Address |
33 W 200 N Manti UT 84642 |
Mailing Address |
50 S Main St Manti UT 84642-1372 |
Practice Telephone | 4358354630 |
Mailing Telephone | 4358354631 |
Mailing Fax Number | 4358352632 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2008-12-09 |
Authorized Official Name | MS. MICHELLE FRANCKS (SECRETARY/TREASURER) |
Authorized Official Telephone | 4358354631 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 698070030001 | 05 |
Street Address |
33 W 200 N |
City | MANTI |
State | UT |
Zip Code | 84642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528668050 | Corbin Linam | Community Health Worker | 920n 000w, Manti, UT 84642 | 2020-10-26 |
1033690201 | Koleton Michael Moon | Community Health Worker | 920 N. 000 W., Manti, UT 84642 | 2018-08-27 |
1588916043 | Nicholas Evan Tibbs | Counselor | 920 North Centerline Dr., Manti, UT 84642 | 2012-10-09 |
1346545936 | James R Cheney | Social Worker | 920 North 0000 East/west, Manti, UT 84642 | 2011-01-13 |
1407157126 | Anchor Stone Youth, Inc. | Foster Care Agency | 920 North 0000 E/w, Manti, UT 84642 | 2010-11-11 |
1942415666 | Utah Preparatory Academy | Residential Treatment Facility, Emotionally Disturbed Children | 920 North 0000 East-west, Manti, UT 84642 | 2007-05-14 |
1124230115 | Michael D Jensen | Social Worker | 50 South Main, # 25, Manti, UT 84642 | 2007-05-04 |
1154663334 | Lauren Linn Miller | Nurse Practitioner | 45 North Main Street, Manti, UT 84642 | 2013-03-26 |
1043515638 | Annie Johnson | Counselor | 920 North 0000 E/w, Manti, UT 84642 | 2011-01-13 |
1598196560 | Troy Kartchner | Counselor | 920 N 0000 E/w Drive, Manti, UT 84642-0287 | 2013-12-02 |
Find all providers in zip 84642 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
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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.