AMBULANCE SERVICES OF TOOELE, LLC — NPI 1790931061 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in TOOELE, UT)

CMS-1500 Box 24J / 33a • NPI

1790931061

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

153 S MAIN ST, TOOELE, UT, 84074-2127

✓ 9-Digit EDI 837 ZIP+4 (84074-2127)

Practice Phone & Referral Fax

(435) 884-0913

Fax: (435) 884-6208

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790931061 (AMBULANCE SERVICES OF TOOELE, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790931061` (NPI-2 Organization / Facility)
Provider / Legal Name	AMBULANCE SERVICES OF TOOELE, LLC
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	153 S MAIN ST, TOOELE, UT, 84074-2127
Practice Telephone / Fax	Tel: (435) 884-0913 \| Fax: (435) 884-6208
Administrative Mailing Address	2055 N MAIN ST, TOOELE, UT, 84074-9819
Enumeration & Last Sync	Enumerated: 2008-08-18 \| CMS Record Updated: 2019-12-27
Authorized Official	LAURA FEY (Director, Clinic Revenue Cycle)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

153 S MAIN ST, TOOELE, UT, 84074-2127

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Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMBULANCE SERVICES OF TOOELE, LLC)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: UT \| License: `2006223` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMBULANCE SERVICES OF TOOELE, LLC (NPI #1790931061)