Midtown Community Health Center Inc
LBN: Midtown Community Health Center Inc
Midtown Community Health Center Inc 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 Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Community Health is the primary health care specialty.
Midtown Community Health Center Inc can be contacted via phone (801) 393-5355, or through Nichols, Lisa M via phone (801) 334-2213.
Contact Information
Primary practice address
2240 Adams Ave
Ogden UT 84401-1511
Phone: (801) 393-5355
Fax: (801) 394-4609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Community Health | 261QC1500X | 00867511 | Utah |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1548267420 |
|---|---|
| LBN Legal business name | Midtown Community Health Center Inc |
| DBA Doing business as | |
| Authorized official | Nichols, Lisa M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548267420 | NPPES |
| Utah | MEDICAID | 870540037009 |
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