Organization
NORTH SANPETE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEWIS RASMUSSEN (BOARD CHAIRMAN)
(435) 445-3571
Entity
Organization
Contact information
Practice address
1100 S MEDICAL DR, MT PLEASANT, UT 84647-2222
(435) 436-8317
(435) 436-5317
Mailing address
PO BOX 15, MORONI, UT 84646-0015
(435) 436-8317
(435) 436-5317
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2002L
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000303001
—
UT
Enumeration date
08/22/2006
Last updated
08/22/2020
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