Organization
PARK CITY FIRE SERVICE DISTRICT
Active
Other names
Park City Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LEWIS (BATTALION CHIEF)
(435) 940-2503
Entity
Organization
Contact information
Practice address
736 BITNER RD, PARK CITY, UT 84098-5432
(435) 940-2500
(435) 940-2451
Mailing address
PO BOX 27768, SALT LAKE CITY, UT 84127-0768
(801) 975-4319
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144250531
—
UT
01
—
590011561
RAILROAD MEDICARE
UT
Enumeration date
07/03/2006
Last updated
11/17/2022
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