| Organization Name: | CANYONS MEDICAL CENTER |
| NPI Number: | 1043324312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL EDWARD COBBLE (OWNER/CEO) |
| Mailing Address: | 9355 S 1300 E Sandy |
| State: | UT US |
| Postal Code: | 840943135 |
| Phone Number: | 8015721616 |
| Fax Number: | 8015723106 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 11/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 2625861205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |