COMMUNITY HEALTH CENTERS INC. NPI 1073611364

NPI Information

NPI: 1073611364
Provider Name: COMMUNITY HEALTH CENTERS INC.

Other Name: 72ND STREET CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
220 W 7200 S
SUITE A
MIDVALE, UT
ZIP 84047
Phone: (801) 566-5494
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COMMUNITY HEALTH CENTERS INC. is a federally qualified health center (fqhc) clinic center in Midvale, UT. COMMUNITY HEALTH CENTERS INC. NPI is 1073611364. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is 72nd Street Clinic.

The provider's business location address is:

220 W 7200 S
SUITE A
MIDVALE, UT
ZIP 84047-043
Phone: (801) 566-5494
Fax: (801) 561-9647

The provider's authorized official is Dexter Pearce .
The authorized official title is Executive Director and has the following contact phone number (801) 858-3451.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/8/2021.

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	Primary
1	207Q00000X	Family Medicine		No
2	207V00000X	Obstetrics & Gynecology		No
3	208000000X	Pediatrics		No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	363A00000X	Physician Assistant		No
6	363L00000X	Nurse Practitioner		No
7	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: 11/14/2023

NPI Synchronization or Removal

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