| Organization Name: | IVINS CITY |
| NPI Number: | 1528236593 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WADE CARPENTER (PUBLIC SAFETY DIRECTOR) |
| Mailing Address: | 55 N Main St Ivins |
| State: | UT US |
| Postal Code: | 847386164 |
| Phone Number: | 4356798710 |
| Fax Number: | 4356798711 |
| NPI Enumeration Date: | 02/13/2008 |
| NPI Last Update Date: | 02/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2737L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |