MIDTOWN COMMUNITY HEALTH CENTER INC NPI 1033547567

NPI Information

MIDTOWN COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Salt Lake City, UT. MIDTOWN COMMUNITY HEALTH CENTER INC NPI is 1033547567. The provider is registered as an organization entity type.
The provider Is Doing Business As Midtown South Salt Lake Chc.

The provider's business location address is:

2253 S STATE ST
SALT LAKE CITY, UT
ZIP 84115-752
Phone: (801) 393-5355
Fax: (801) 394-4609

The provider's authorized official is Sonja Levesque .
The authorized official title is Cfo and has the following contact phone number (801) 334-1327.

The CLIA number assigned to this NPI record is 46D0525203 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/18/2013 and was last updated on 10/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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