Provider Demographics
NPI:1891878476
Name:SNOWVILLE TOWN
Entity Type:Organization
Organization Name:SNOWVILLE TOWN
Other - Org Name:CURLEW EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-872-8501
Mailing Address - Street 1:20 SOUTH MAIN
Mailing Address - Street 2:PO BOX 734
Mailing Address - City:SNOWVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84336-0734
Mailing Address - Country:US
Mailing Address - Phone:435-872-8501
Mailing Address - Fax:435-872-8501
Practice Address - Street 1:20 SOUTH MAIN
Practice Address - Street 2:
Practice Address - City:SNOWVILLE
Practice Address - State:UT
Practice Address - Zip Code:84336-0734
Practice Address - Country:US
Practice Address - Phone:435-872-8501
Practice Address - Fax:435-872-8501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SNOWVILLE TOWN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-24
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT0222L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========007Medicaid
UT=========007Medicaid