# AMBULANCE SERVICES OF TOOELE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain West Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790931061
- **Authorized official:** LAURA J FEY (DIRECTOR, CLINIC REVENUE CYCLE)
- **Authorized official phone:** (615) 221-3641

## Contact information

- **Practice address:** 153 S MAIN ST, TOOELE, UT 84074-2127
- **Practice address phone:** (435) 884-0913
- **Practice address fax:** (435) 884-6208
- **Mailing address:** 2055 N MAIN ST, TOOELE, UT 84074-9819
- **Mailing address phone:** (435) 843-8745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 2006223 | UT | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 12/27/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790931061 | — | UT |
| 01 | — | 23200000000001 | REGENCE BLUE CROSS | UT |