Midtown South Salt Lake Chc
LBN: Midtown Community Health Center Inc
Midtown South Salt Lake Chc is an health care organization with primary practice located at 2253 S State St , Salt Lake City UT 84115-2752. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Midtown Community Health Center Inc can be contacted via phone (801) 393-5355, or through Levesque, Sonja via phone (801) 334-1327.
Contact Information
Primary practice address
2253 S State St
Salt Lake City UT 84115-2752
Phone: (801) 393-5355
Fax: (801) 394-4609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1033547567 |
|---|---|
| LBN Legal business name | Midtown Community Health Center Inc |
| DBA Doing business as | Midtown South Salt Lake Chc |
| Authorized official | Levesque, Sonja |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 18th, 2013 |
| Last updated | Oct 18th, 2013 - about 11 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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