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COMMUNITY HEALTH CENTERS INC. NPI 1316421761


NPI Information

NPI: 1316421761
Provider Name: COMMUNITY HEALTH CENTERS, INC.

Doing Business As: CENTRAL CITY MEDICAL CLINIC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
610 S 200 E STE #B
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 539-8617
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COMMUNITY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Salt Lake City, UT. COMMUNITY HEALTH CENTERS, INC. NPI is 1316421761. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Central City Medical Clinic.

The provider's business location address is:

610 S 200 E STE #B
SALT LAKE CITY, UT
ZIP 84111
Phone: (801) 539-8617
Fax: (877) 497-4661

The provider's authorized official is Jennifer Thomas .
The authorized official title is Executive Director and has the following contact phone number (801) 412-6920.

The enumeration date for this NPI number is 9/21/2018 and was last updated on 10/30/2023.


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
11041C0700XSocial WorkerClinicalNo
2207Q00000XFamily MedicineNo
3207V00000XObstetrics & GynecologyNo
4208000000XPediatricsNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11316421761MEDICAIDUTAH

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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