Provider Demographics
NPI:1275531139
Name:SYRACUSE CITY CORPORATION
Entity Type:Organization
Organization Name:SYRACUSE CITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:J.
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MOYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-825-1477
Mailing Address - Street 1:1787 S 2000 W
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:UT
Mailing Address - Zip Code:84075-9219
Mailing Address - Country:US
Mailing Address - Phone:801-825-1477
Mailing Address - Fax:801-825-3001
Practice Address - Street 1:1787 S 2000 W
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:UT
Practice Address - Zip Code:84075-9219
Practice Address - Country:US
Practice Address - Phone:801-825-1477
Practice Address - Fax:801-825-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT0618L3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport