NPIMap

Organization Active NPI

South Davis Community Hospital

  • Assisted Living Facility (Behavioral Disturbances)
  • Bountiful, UT
National Provider Identifier
1164562732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
SOUTH DAVIS COMMUNITY HOSPITAL
Practice address
485 E 500 S
Bountiful, UT 84010-3801
Phone
(801) 299-4800
Fax
(801) 299-4850
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel J Foster
Title
Cfo
Phone
(801) 295-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X UT Primary

Addresses

Primary practice location

485 E 500 S
Bountiful, UT 84010-3801

Mailing address

401 S 400 E
Bountiful, UT 84010-4933
Phone (801) 295-2361

Other names 1

  • Orchard Cove Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orchard Cove2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164562732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 400 E",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104933",
            "telephone_number": "801-295-2361",
            "fax_number": "801-295-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103801",
            "telephone_number": "801-299-4800",
            "fax_number": "801-299-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAVIS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-295-2361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Cove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.