Healthcare Provider Details

I. General information

NPI: 1851333249
Provider Name (Legal Business Name): DAVIS HOSPITAL HOLDINGS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W ANTELOPE DR
LAYTON UT
84041-1120
US

IV. Provider business mailing address

1600 W ANTELOPE DR ATTN: BILLING
LAYTON UT
84041-1142
US

V. Phone/Fax

Practice location:
  • Phone: 801-807-1000
  • Fax: 801-807-7045
Mailing address:
  • Phone: 801-807-1000
  • Fax: 801-807-7045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JENSEN
Title or Position: HOSPITAL CEO
Credential:
Phone: 801-807-1000