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MIDTOWN COMMUNITY HEALTH CENTER INC NPI 1104124015


NPI Information

NPI: 1104124015
Provider Name: MIDTOWN COMMUNITY HEALTH CENTER INC

Doing Business As: WEBER WELLNESS CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
237 26TH ST
OGDEN, UT
ZIP 84401
Phone: (801) 625-3700
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MIDTOWN COMMUNITY HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Ogden, UT. MIDTOWN COMMUNITY HEALTH CENTER INC NPI is 1104124015. The provider is registered as an organization entity type.
The provider Is Doing Business As Weber Wellness Clinic.

The provider's business location address is:

237 26TH ST
OGDEN, UT
ZIP 84401-105
Phone: (801) 625-3700
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 3/2/2011 and was last updated on 3/2/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthNo
2261QF0400XClinic/CenterFederally 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: 4/28/2024

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