Midtown Community Health Center Pharmacy

LBN: Midtown Community Health Center Inc
Midtown Community Health Center Pharmacy is an health care organization with primary practice located at 2240 Adams Ave , Ogden UT 84401-1511. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Midtown Community Health Center Inc can be contacted via phone (801) 395-8200, or through Martinez, Alicia via phone (801) 334-1321.

Contact Information

Primary practice address
2240 Adams Ave Ogden UT 84401-1511
Phone: (801) 395-8200
Fax: (801) 436-1015
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Alicia BSPHARM
Phone: (801) 334-1321

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X 61891751704 Utah

Profile Details

NPI number 1194831552
LBN Legal business name Midtown Community Health Center Inc
DBA Doing business as Midtown Community Health Center Pharmacy
Authorized official Martinez, Alicia BSPHARM
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2006
Last updated Apr 20th, 2017 - about 7 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 1194831552 NPPES
Other 2100848 PK

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