# COUNTY OF SUMMIT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Summit Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144259805
- **Authorized official:** BLAKE L FRAZIER (AUDITOR)
- **Authorized official phone:** (435) 336-3254

## Contact information

- **Practice address:** 210 EAST 400 SOUTH, KAMAS, UT 84036-0266
- **Practice address phone:** (435) 783-6276
- **Practice address fax:** (435) 783-6277
- **Mailing address:** PO BOX 95970, SOUTH JORDAN, UT 84095-0970
- **Mailing address phone:** (801) 352-9500
- **Mailing address fax:** (801) 352-9502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 04/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1144259805 | — | UT |
| 01 | — | 590011561 | RAILROAD MEDICARE | UT |