Organization
DRAPER CITY
Active
Other names
Draper City Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT SMITH (CHIEF)
(801) 824-3709
Entity
Organization
Contact information
Practice address
780 E 12300 S, DRAPER, UT 84020-9571
(385) 557-2801
Mailing address
780 E 12300 S, DRAPER, UT 84020-9571
(385) 557-2801
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1852L
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590005840
PALMETTO GBA
UT
Enumeration date
04/03/2007
Last updated
07/21/2022
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