Organization Name: | CITY OF SOUTH JORDAN |
NPI Number: | 1215128582 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER D EVANS (FIRE CHIEF) |
Mailing Address: | 10758 S Redwood Rd South Jordan |
State: | UT US |
Postal Code: | 840958507 |
Phone Number: | 8012540948 |
Fax Number: | 8012548356 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 07/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0905X |
License Number: | 1858L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, State or Local |
Taxonomy Definition: |