Healthcare Provider Details

I. General information

NPI: 1477876902
Provider Name (Legal Business Name): DAVIS HOSPITAL & MEDICAL CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W ANTELOPE DR
LAYTON UT
84041-1142
US

IV. Provider business mailing address

1600 WEST ANTELOPE DRIVE 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 TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

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