Healthcare Provider Details

I. General information

NPI: 1023603214
Provider Name (Legal Business Name): COLUMBIA OGDEN MEDICAL CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2021
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5475 S 500 E
OGDEN UT
84405-6905
US

IV. Provider business mailing address

5475 S 500 E
OGDEN UT
84405-6905
US

V. Phone/Fax

Practice location:
  • Phone: 801-479-2111
  • Fax: 801-479-2091
Mailing address:
  • Phone: 801-479-2111
  • Fax: 801-479-2091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J HALE
Title or Position: CFO
Credential:
Phone: 801-479-2033