Provider Demographics
NPI:1972515492
Name:COUNTY OF WEBER
Entity Type:Organization
Organization Name:COUNTY OF WEBER
Other - Org Name:WEBER-MORGAN HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/HEALTH OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:801-399-7100
Mailing Address - Street 1:477 23RD ST
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-1507
Mailing Address - Country:US
Mailing Address - Phone:801-399-7100
Mailing Address - Fax:801-399-7110
Practice Address - Street 1:477 23RD ST
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-1507
Practice Address - Country:US
Practice Address - Phone:801-399-7100
Practice Address - Fax:801-399-7110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF WEBER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-13
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT286008-1205251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT529949454073Medicaid
UT998877666002Medicaid
UT529949454073Medicaid
UTPRA01363Medicare UPIN
UT103000766102Medicare UPIN
UT=========011Medicaid
UTRR8170Medicare UPIN
UT29616Medicare UPIN
UT998877666002Medicaid