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General NPI Number Information
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NPI Number | 1831032382
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Entity Type | Organization
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Legal Business Name | COLUMBIA OGDEN MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 323 S 2000 W
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City | SYRACUSE
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State | UT
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Zip | 84075-6001
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Country | US
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Telephone | 385-383-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 323 S 2000 W
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City | SYRACUSE
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State | UT
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Zip | 84075-6001
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Country | US
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Telephone | 385-383-2100
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JERRY GONZALEZ
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Credential |
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Telephone | 801-479-2111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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