| Organization Name: | SOUTH DAVIS COMMUNITY HOSPITAL |
| NPI Number: | 1215970835 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL JOHN FOSTER (CFO) |
| Mailing Address: | 401 South 400 East Bountiful |
| State: | UT US |
| Postal Code: | 840104933 |
| Phone Number: | 8012952361 |
| Fax Number: | 8012951398 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 10/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2006HOSPICE842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |