# SOUTH WEBER CITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194218461
- **Authorized official:** DEREK TOLMAN (CHIEF)
- **Authorized official phone:** (801) 941-5961

## Contact information

- **Practice address:** 7365 S 1375 E, SOUTH WEBER, UT 84405
- **Practice address phone:** (801) 941-5961
- **Mailing address:** 1600 E SOUTH WEBER DR, SOUTH WEBER, UT 84405-9659
- **Mailing address phone:** (801) 941-5961

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 08/17/2018