NPIMap

Organization Active NPI

Davis Hospital Holdings, Inc.

  • Contractor
  • Layton, UT
National Provider Identifier
1851333249
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
DAVIS HOSPITAL HOLDINGS, INC.
Practice address
1600 W Antelope Dr
Layton, UT 84041-1120
Phone
(801) 807-1000
Fax
(801) 807-7045
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Michael Jensen
Title
Hospital Ceo
Phone
(801) 807-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary
Neonatal-Perinatal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080N0001X

Addresses

Primary practice location

1600 W Antelope Dr
Layton, UT 84041-1120

Mailing address

1600 W Antelope Dr
Attn: Billing
Layton, UT 84041-1142
Phone (801) 807-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000148 UT Part B Supplier - Clinic/Group Practice 6709784390 Receives reassigned benefits from 2 practitioners
2 other NPIs on this enrollment
Practice locations: Layton, UT

National Provider Directory

National Provider Directory
Tax ID family
Davis Hospital Holdings Inc2 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.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1851333249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W ANTELOPE DR",
            "address_2": "ATTN: BILLING",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411142",
            "telephone_number": "801-807-1000",
            "fax_number": "801-807-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W ANTELOPE DR",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411120",
            "telephone_number": "801-807-1000",
            "fax_number": "801-807-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HOSPITAL HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "801-807-1000"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.