1902953672 NPI number — CITY OF OREM CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902953672 NPI number — CITY OF OREM CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF OREM CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CITY OF OREM FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902953672
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 27471
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84127-0471
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-978-6305
Provider Business Mailing Address Fax Number:
888-972-9641

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56 N STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREM
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-978-6305
Provider Business Practice Location Address Fax Number:
888-972-9641
Provider Enumeration Date:
01/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NELSON
Authorized Official First Name:
BRANDON
Authorized Official Middle Name:
C
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
801-229-7010

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  2506L , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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