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Organization
DAVIS HOSPITAL & MEDICAL CENTER LP
Active
Organization
DAVIS HOSPITAL & MEDICAL CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JENSEN (HOSPITAL CEO)
(801) 807-7001
Entity
Organization
Contact information
Practice address
1600 W ANTELOPE DR, LAYTON, UT 84041-1142
(801) 807-1000
(801) 807-7045
Mailing address
1600 WEST ANTELOPE DRIVE, ATTN: BILLING, LAYTON, UT 84041-1142
(801) 807-1000
(801) 807-7045
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2005HOSP-187
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103002097101
SELECT HEALTH PLANS (IHC)
UT
01
—
500023
UNITED HEALTH CARE
UT
01
—
59252
PEHP
UT
01
—
854673
DMBA
UT
01
—
QM0000022744
ALTIUS
UT
Enumeration date
06/19/2006
Last updated
04/05/2018
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