NPI Code Details Logo

NPI 1295678746

NPI 1295678746 : COLUMBIA OGDEN MEDICAL CENTER, INC. : PLEASANT VIEW, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295678746
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COLUMBIA OGDEN MEDICAL CENTER, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/10/2026
-----------------------------------------------------
    Last Update Date     |    04/10/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2690 N 600 W 
-----------------------------------------------------
    City                 |    PLEASANT VIEW
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84414-7092
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-786-7911
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2690 N 600 W 
-----------------------------------------------------
    City                 |    PLEASANT VIEW
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84414-7092
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    801-786-7911
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     JERRY  GONZALEZ 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    801-479-2111
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QE0002X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.