Central City Medical Clinic

LBN: Community Health Centers, Inc.
Central City Medical Clinic is an health care organization with primary practice located at 610 S 200 E Ste #B , Salt Lake City UT 84111. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Community Health Centers, Inc. can be contacted via phone (801) 539-8617, or through Thomas, Jennifer via phone (801) 412-6920.

Contact Information

Primary practice address
610 S 200 E Ste #B Salt Lake City UT 84111
Fax: (877) 497-4661
Website:
Authorized official contact:
Name: Thomas, Jennifer

Profile Details

NPI number 1316421761
LBN Legal business name Community Health Centers, Inc.
DBA Doing business as Central City Medical Clinic
Authorized official Thomas, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2018
Last updated Oct 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316421761 NPPES
Utah MEDICAID 1316421761

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