Healthcare Provider Details

I. General information

NPI: 1801000427
Provider Name (Legal Business Name): KANE COUNTY HUMAN RESOURCE SPECIAL SERVICE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 N MAIN ST
KANAB UT
84741-3260
US

IV. Provider business mailing address

355 N MAIN ST
KANAB UT
84741-3260
US

V. Phone/Fax

Practice location:
  • Phone: 435-691-1166
  • Fax: 435-644-3588
Mailing address:
  • Phone: 435-644-5811
  • Fax: 435-644-3588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1301L
License Number StateUT

VIII. Authorized Official

Name: STUART WILLOUGHBY
Title or Position: EMS COORDINATOR
Credential:
Phone: 435-691-1166