Organization Name: | PLEASANT GROVE CITY CORPORATION |
NPI Number: | 1235136235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOLLY JUNE PURDIE (BILLING CLERK) |
Mailing Address: | 70 S 100 E Pleasant Grove |
State: | UT US |
Postal Code: | 840622702 |
Phone Number: | 8017855045 |
Fax Number: | 8017858925 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 08/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 2504L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |