# MANTI AMBULANCE ASSOCIATION

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

## Provider details

- **NPI number:** 1568553089
- **Authorized official:** MS. MICHELLE FRANCKS (SECRETARY/TREASURER)
- **Authorized official phone:** (435) 835-4631

## Contact information

- **Practice address:** 33 W 200 N, MANTI, UT 84642
- **Practice address phone:** (435) 835-4630
- **Mailing address:** 50 S MAIN ST, MANTI, UT 84642-1372
- **Mailing address phone:** (435) 835-4631
- **Mailing address fax:** (435) 835-2632

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 12/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 698070030001 | — | UT |