Organization
MIDVALE CITY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE ORTON (OFFICE MANAGER)
(801) 263-0810
Entity
Organization
Contact information
Practice address
607 E 7200 S, MIDVALE, UT 84047-2215
(801) 263-0810
(801) 270-8170
Mailing address
PO BOX 276, MIDVALE, UT 84047-0276
(801) 263-0810
(801) 270-8170
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1862L
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59002011
PALMETTO GBA RAILROAD MCR
UT
01
—
81-80321
UNITED HEALTH CARE
UT
01
—
87045588102001
BLUE CROSS BLUE SHIELD
UT
01
—
QM0000025207
ALTIUS
UT
Enumeration date
05/26/2006
Last updated
02/05/2010
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