# NORTH SANPETE AMBULANCE SERVICE

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

## Provider details

- **NPI number:** 1679689632
- **Authorized official:** MR. LEWIS RASMUSSEN (BOARD CHAIRMAN)
- **Authorized official phone:** (435) 445-3571

## Contact information

- **Practice address:** 1100 S MEDICAL DR, MT PLEASANT, UT 84647-2222
- **Practice address phone:** (435) 436-8317
- **Practice address fax:** (435) 436-5317
- **Mailing address:** PO BOX 15, MORONI, UT 84646-0015
- **Mailing address phone:** (435) 436-8317
- **Mailing address fax:** (435) 436-5317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2002L | UT | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 876000303001 | — | UT |