MIDTOWN COMMUNITY HEALTH CENTER INC NPI 1053780171

NPI Information

NPI: 1053780171
Provider Name: MIDTOWN COMMUNITY HEALTH CENTER INC

Doing Business As: MTCHC LOGAN CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
550 E 1400 N STE XY
LOGAN, UT
ZIP 84341
Phone: (801) 393-5355
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MIDTOWN COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Logan, UT. MIDTOWN COMMUNITY HEALTH CENTER INC NPI is 1053780171. The provider is registered as an organization entity type.
The provider Is Doing Business As Mtchc Logan Clinic.

The provider's business location address is:

550 E 1400 N STE XY
LOGAN, UT
ZIP 84341-406
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 enumeration date for this NPI number is 9/18/2015 and was last updated on 11/30/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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