Provider Demographics
NPI:1528221561
Name:MURRAY CITY CORP
Entity Type:Organization
Organization Name:MURRAY CITY CORP
Other - Org Name:MURRAY CITY FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:BATTALION CHIEF - EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DYKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-264-2786
Mailing Address - Street 1:40 E 4800 S
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-3762
Mailing Address - Country:US
Mailing Address - Phone:801-264-2781
Mailing Address - Fax:801-264-2787
Practice Address - Street 1:40 E 4800 S
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-3762
Practice Address - Country:US
Practice Address - Phone:801-264-2781
Practice Address - Fax:801-264-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1868L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport