Healthcare Provider Details

I. General information

NPI: 1164451985
Provider Name (Legal Business Name): COUNTY OF SUMMIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 03/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 BITNER RD
PARK CITY UT
84098-5432
US

IV. Provider business mailing address

PO BOX 95970
SOUTH JORDAN UT
84095-0970
US

V. Phone/Fax

Practice location:
  • Phone: 435-940-2500
  • Fax: 435-940-2451
Mailing address:
  • Phone: 801-352-9500
  • Fax: 801-352-9502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: FRANK HEUMANN
Title or Position: FIRE CHIEF
Credential:
Phone: 435-940-2502