Columbia Ogden Medical Center, Inc.
Organization Active NPI General Acute Care Hospital · Ogden, UT
NPI 1720031636 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1720031636
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- COLUMBIA OGDEN MEDICAL CENTER, INC.
- Practice address
- 5475 S 500 E
Ogden, UT 84405-6905 - Phone
- (801) 479-2111
- Fax
- (801) 479-2091
- NPI assigned
- May 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael J Hale
- Title
- Cfo
- Phone
- (801) 479-2033
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 6
Member of 1
Member organizations 1
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 3
-
Rebecca Jo Santek, CRNA
-
Robert W Chalmers, M.D.
-
Payam Tabrizi, MD
Affiliated clinicians 363
-
Brock Aldrich, DO
-
Gregory T Almony, MD
-
Kelly R Amann, DO
-
Corey D Anden, MD
-
Connor Anderl, CRNA
-
Elisabeth G Anderson, PA-C
-
Sean D Anderson, D.O.
-
Brett J Arbon, FNP
-
Sanjeev Bakshi, MD
-
Kurt D Bangerter, MD
-
Brent M Baranko, MD
-
Lance Fred Barker, M.D
-
Clayton A Bass, MD
Medicare Care Compare: Hospital
- Listed as
- Ogden Regional Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Hospital certification: CCN 460005
- Legal name
- COLUMBIA OGDEN MEDICAL CENTER INC
- Doing business as
- OGDEN REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Dec 1, 1999
- Beds
- 227
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 5475 S 500 E
Ogden, UT 84405-6905 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 38
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin McKeown |
Corporate Officer |
Apr 6, 2026 | |
| W-2 Managing Employee |
Apr 6, 2026 | ||
| Michael McAlevey |
Corporate Officer |
Feb 1, 2022 | |
| Jaime L Derensis |
Corporate Officer | Nov 4, 2020 | |
| HCA Inc |
5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| John M Franck |
Corporate Director | Apr 30, 2007 | |
| Douglas L Downey |
Corporate Officer | Apr 7, 2014 | |
| Eric D Smith |
Contracted Managing Employee | Mar 1, 2021 | |
| HCA Healthcare Inc |
5% Or Greater Indirect Ownership Interest | May 8, 2017 | 100% |
| Henry Todd Maxwell |
Corporate Officer | Jan 1, 2024 | |
| Frisco Holding II |
5% Or Greater Indirect Ownership Interest | Feb 6, 2026 | 16.3% |
| Evan Ray |
Corporate Officer | Mar 1, 2024 | |
| Christopher F Wyatt |
Corporate Director | Apr 18, 2016 | |
| John I Starling |
Corporate Officer | Oct 7, 2019 | |
| Shirley E Scharf-Cheatham |
Corporate Officer | Jan 1, 2010 | |
| John M Hackett |
Corporate Officer | Apr 18, 2016 | |
| Hercules Holding II |
5% Or Greater Indirect Ownership Interest | Sep 30, 2016 | 18% |
| Samuel N Hazen |
Corporate Director | Jan 1, 2010 | |
| Ronald Lee Grubbs |
Corporate Officer | Jan 1, 2010 | |
| Jerry Gonzalez |
Corporate Officer |
Feb 3, 2025 | |
| W-2 Managing Employee |
Feb 3, 2025 | ||
| Benjamin a Baumann |
Corporate Officer |
Apr 1, 2026 | |
| W-2 Managing Employee |
Apr 1, 2026 | ||
| Monica Cintado |
Corporate Officer | Oct 7, 2019 | |
| Jon Foster |
Corporate Officer |
Jan 1, 2023 | |
| Healthtrust Inc - the Hospital Company |
5% Or Greater Indirect Ownership Interest | May 17, 2011 | 100% |
| Seth a Killingbeck |
Corporate Officer | Aug 29, 2012 | |
| Timothy Scott Noonan |
Corporate Officer | Apr 5, 2013 | |
| Natalie H Cline |
Corporate Officer | Apr 5, 2013 | |
| Utah Medco LLC |
5% Or Greater Direct Ownership Interest | May 17, 2011 | 100% |
| Michael T Bray |
Corporate Officer | Jan 1, 2010 | |
| Matthew R Favicchio |
Corporate Officer |
Sep 5, 2025 | |
| Peter J Rossell |
Corporate Officer |
Jan 1, 2023 | |
| Timothy M McManus |
Corporate Officer |
Jan 1, 2023 | |
| Michael a Marks |
Corporate Officer |
Sep 5, 2025 | |
| Edwin W Robinson |
Corporate Officer |
Sep 5, 2025 | |
| Brad Ej Spicer |
Corporate Officer |
Jan 1, 2023 | |
| Kevin a Ball |
Corporate Officer | Apr 7, 2014 | |
| Jeffery McInturff |
Corporate Officer |
Nov 29, 2021 | |
| Deborah H Mullin |
Corporate Officer | Jan 1, 2010 | |
| Russell Young |
Corporate Officer |
Jan 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030611000025 | UT | Part a Provider - Hospital | 6507776796 | Practice locations: Ogden, UT; Washington Terrace, UT; Syracuse, UT; Pleasant View, UT |
National Provider Directory
- Tax ID family
- Columbia Ogden Medical Center Inc
Locations
4301 Lost Hills Rd
Calabasas Hls, CA 91301
Phone (800) 444-9111
Interoperability endpoints
- ogden.coccbm.uta@ccda.hcadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
5475 S 500 E
Ogden, UT 84405-6905
Mailing address
5475 S 500 E
Ogden, UT 84405-6905
Phone (801) 479-2111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721254895009 | Medicaid | UT | |
| 3023686 | Medicaid | WA | |
| 1189159 | Medicaid | NV | |
| 331839 | Medicaid | AZ | |
| 806241300 | Medicaid | ID | |
| XHSP32456 | Medicaid | CA | |
| 110689900 | Medicaid | WY | |
| 0410449 | Medicaid | MT |
Other names
- OGDEN REGIONAL MEDICAL CENTER
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
| Direct Messaging Address | OGDEN.COCCBM.UTA@CCDA.HCADIRECT.NET |
Other providers in Ogden, UT
- Allison Collinwood
- Stefani Coltrin
- Columbia Ogden Medical Center, Inc.
- Columbia Ogden Medical Center, Inc.
- Columbia Ogden Medical Center, Inc.
- Columbia Ogden Medical Center, Inc.
- Columbia Ogden Regional
- Community Options, Inc.
- Compass Limb and Brace LLC
- Karina Compean
All providers in Ogden, UT · General Acute Care Hospital in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.