Provider Demographics
NPI:1033201652
Name:IRON COUNTY AUDITOR
Entity Type:Organization
Organization Name:IRON COUNTY AUDITOR
Other - Org Name:IRON COUNTY AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-477-8390
Mailing Address - Street 1:68 SOUTH 100 EAST
Mailing Address - Street 2:PO BOX 1287
Mailing Address - City:PAROWAN
Mailing Address - State:UT
Mailing Address - Zip Code:84761-1287
Mailing Address - Country:US
Mailing Address - Phone:435-477-8390
Mailing Address - Fax:
Practice Address - Street 1:68 SOUTH 100 EAST
Practice Address - Street 2:
Practice Address - City:PAROWAN
Practice Address - State:UT
Practice Address - Zip Code:84761-1287
Practice Address - Country:US
Practice Address - Phone:435-477-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1102L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000090575Medicare PIN