South Davis Community Hospital, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2006-ALII-4791 Issued in UT

Legal business name

SOUTH DAVIS COMMUNITY HOSPITAL, INC.

Practice address

499 E 500 S
Bountiful, UT 84010-3801

Phone

(801) 298-4200

Fax

(801) 397-8029

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David A. Bland

Title

Cfo

Phone

(801) 295-2361

Specialties & licenses 1

Addresses

Other names 1

• The Inn on Barton Creek Doing business as

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.

• South Davis Community Hospital

  • Assisted Living Facility (Behavioral Disturbances)
  • Bountiful, UT
  • NPI 1164562732
  NPD tax ID

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1972643559",
    "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": "499 E 500 S",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840103801",
            "telephone_number": "801-298-4200",
            "fax_number": "801-397-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DAVIS COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "801-295-2361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2006-ALII-4791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inn on Barton Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Inn on Barton Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Leigh Sorensen
• Travis M. Sorensen, DDS
• Misty Sorenson, CSW
• Terra Marie Soto, OTR/L
• South Davis Community Hospital
• South Davis Metro Fire Agency
• South Davis Metro Fire Service Area
• South Davis Pediatric Dentistry LLC
• Southern Mental Health Therapy PLLC
• Scott E Southworth, MD

• Assisted Living Facility in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.