MEDICARE: UTAH TRANSIT AUTHORITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347B00000X	Bus		UT

General Provider Information

NPI Number	:	1295845337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTAH TRANSIT AUTHORITY

Provider Business Mailing Address
First Line	:	3600 S 700 W
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84119-4122
Country	:	US
Telephone Number	:	801-262-5626
Fax Number	:	801-287-4614

Provider Business Practice Location Address
First Line	:	3600 S 700 W
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84119-4122
Country	:	US
Telephone Number	:	801-262-5626
Fax Number	:	801-287-4614

Authorized Official
Title or Position	:	ACCOUNTANT
Name	:	BRIAN FAST
Credential	:
Telephone Number	:	801-262-5626

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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Directions to “UTAH TRANSIT AUTHORITY ” Practice Location

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