Organization
AMBULANCE SERVICES OF TOOELE, LLC
Active
Other names
Mountain West Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (DIRECTOR, CLINIC REVENUE CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
153 S MAIN ST, TOOELE, UT 84074-2127
(435) 884-0913
(435) 884-6208
Mailing address
2055 N MAIN ST, TOOELE, UT 84074-9819
(435) 843-8745
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2006223
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790931061
—
UT
01
—
23200000000001
REGENCE BLUE CROSS
UT
Enumeration date
08/18/2008
Last updated
12/27/2019
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