Organization Name: | BLUFFDALE CITY CORP |
NPI Number: | 1881858660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHA V BLACK (PRESIDENT) |
Mailing Address: | 14350 S 2200 W Bluffdale |
State: | UT US |
Postal Code: | 840655328 |
Phone Number: | 8012542200 |
Fax Number: | 8012533270 |
NPI Enumeration Date: | 07/11/2008 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1869L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |